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 $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 $416.84 / $490.40 / $549.25	Professional		$416.84	$490.40	$549.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,249.87 / $55,999.44 / $83,999.17	Facility		$12,249.87	$55,999.44	$83,999.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74,024.27 / $134,998.65 / $255,147.45	Professional		$74,024.27	$134,998.65	$255,147.45
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 $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00