Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $3,740.00 / $8,229.00	Facility		$416.00	$3,740.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
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 $141.06 / $165.96 / $188.40	Professional		$141.06	$165.96	$188.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,839.92 / $50,749.49 / $83,999.16	Facility		$7,839.92	$50,749.49	$83,999.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73,499.27 / $89,999.10 / $104,998.95	Professional		$73,499.27	$89,999.10	$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 $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00