Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,897.79 / $8,511.38	Facility		$851.14	$4,897.79	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $8,511.38	Professional		$2,818.38	$2,818.38	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $7,244.36 / $7,244.36	Facility		$5,888.44	$7,244.36	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,479.11	Professional		$1,230.27	$1,445.44	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $56,234.13 / $83,176.38	Facility		$12,302.69	$56,234.13	$83,176.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66,069.34 / $74,131.02 / $104,712.85	Professional		$66,069.34	$74,131.02	$104,712.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,995.26	Professional		$44.67	$44.67	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52