Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $2,884.03	Facility		$1,148.15	$2,137.96	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $257.04	Facility		$190.55	$223.87	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $257.04	Professional		$158.49	$208.93	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $158.49	Professional		$117.49	$123.03	$158.49