Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,747.00 / $8,229.00	Facility		$787.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,747.00 / $2,843.00 / $8,229.00	Professional		$2,747.00	$2,843.00	$8,229.00
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 $255.79 / $327.88 / $11,121.65	Facility		$255.79	$327.88	$11,121.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.50 / $250.43 / $31,049.69	Professional		$185.50	$250.43	$31,049.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $165.62 / $232.53	Professional		$129.18	$165.62	$232.53
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00