Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,200.00 / $8,229.00	Facility		$557.00	$2,200.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,271.00 / $10,301.00	Facility		$8,241.00	$9,271.00	$10,301.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.57 / $1,624.21 / $1,780.67	Professional		$1,380.57	$1,624.21	$1,780.67
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00