Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,747.00 / $8,229.00	Facility		$787.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,843.00 / $2,843.00 / $8,229.00	Professional		$2,843.00	$2,843.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.29 / $391.70 / $425.93	Professional		$380.29	$391.70	$425.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,839.92 / $50,749.49 / $83,999.17	Facility		$7,839.92	$50,749.49	$83,999.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73,499.27 / $104,998.95 / $104,998.95	Professional		$73,499.27	$104,998.95	$104,998.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00