Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $988.00 / $8,229.00	Facility		$400.00	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $3,740.00	Professional		$99.00	$99.00	$3,740.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.00 / $8,584.00 / $11,253.00	Facility		$4,128.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $82,011.67 / $97,199.02	Facility		$26,999.73	$82,011.67	$97,199.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29,999.70 / $67,499.33 / $97,199.03	Professional		$29,999.70	$67,499.33	$97,199.03
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 $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00