Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $1,219.79 / $8,229.00	Facility		$557.00	$1,219.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.08 / $1,209.48 / $1,254.92	Professional		$683.08	$1,209.48	$1,254.92
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 $36.90 / $43.42 / $50.08	Professional		$36.90	$43.42	$50.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,719.90 / $22,765.44 / $48,999.51	Facility		$1,719.90	$22,765.44	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,707.71 / $25,615.59 / $38,423.39	Professional		$1,707.71	$25,615.59	$38,423.39
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.98 / $2,019.03 / $2,825.30	Professional		$1,379.98	$2,019.03	$2,825.30