Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $988.00 / $7,054.85	Facility		$494.00	$988.00	$7,054.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.08 / $922.75 / $5,626.40	Professional		$564.08	$922.75	$5,626.40
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 $37,799.62 / $85,049.15 / $115,423.80	Facility		$37,799.62	$85,049.15	$115,423.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31,049.69 / $72,899.27 / $97,199.03	Professional		$31,049.69	$72,899.27	$97,199.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $45.00 / $67.59	Professional		$35.10	$45.00	$67.59
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00