Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,716.00 / $8,229.00	Facility		$416.00	$1,716.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $2,747.00 / $8,229.00	Professional		$988.00	$2,747.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $45.48 / $52.07	Professional		$35.13	$45.48	$52.07
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 $65,999.34 / $74,024.27 / $104,998.95	Professional		$65,999.34	$74,024.27	$104,998.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00