Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,200.00 / $8,229.00	Facility		$557.00	$2,200.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.00 / $2,843.00 / $8,229.00	Professional		$1,539.00	$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 $198.15 / $238.22 / $270.43	Professional		$198.15	$238.22	$270.43
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 $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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00