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 $2,843.00 / $2,843.00 / $8,229.00	Professional		$2,843.00	$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 $381.46 / $429.98 / $26,999.73	Facility		$381.46	$429.98	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $330.75 / $31,049.69	Professional		$245.00	$330.75	$31,049.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $236.25 / $307.12	Professional		$183.75	$236.25	$307.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00