Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,716.00 / $8,229.00	Facility		$416.00	$1,716.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.50 / $6,099.80 / $14,718.20	Professional		$527.50	$6,099.80	$14,718.20
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 $1,544.40 / $1,965.60 / $11,122.78	Facility		$1,544.40	$1,965.60	$11,122.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,512.00 / $31,049.69	Professional		$1,120.00	$1,512.00	$31,049.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,000.00 / $1,404.00	Professional		$780.00	$1,000.00	$1,404.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00