Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,989.00 / $11,581.00	Facility		$1,000.00	$2,989.00	$11,581.00
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 $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $193.84 / $294.23	Professional		$147.11	$193.84	$294.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,374.89 / $45,499.55 / $68,249.33	Facility		$11,374.89	$45,499.55	$68,249.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $70,874.30 / $74,999.25	Professional		$52,499.48	$70,874.30	$74,999.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00