Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $2,413.64 / $8,229.00	Facility		$416.00	$2,413.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.00 / $2,843.00 / $8,229.00	Professional		$1,023.00	$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 $273.38 / $293.63 / $15,218.78	Facility		$273.38	$293.63	$15,218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $214.14 / $33,749.66	Professional		$162.51	$214.14	$33,749.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $150.00 / $202.50	Professional		$112.50	$150.00	$202.50
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00