Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,758.00 / $8,229.00	Facility		$637.00	$1,758.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $2,843.00 / $8,229.00	Professional		$1,820.00	$2,843.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $8,114.00 / $9,015.00	Facility		$7,212.00	$8,114.00	$9,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.61 / $1,294.38 / $1,756.66	Professional		$216.61	$1,294.38	$1,756.66
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