Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $3,447.00 / $10,152.00	Facility		$787.00	$3,447.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,616.00 / $2,843.00 / $10,152.00	Professional		$2,616.00	$2,843.00	$10,152.00
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 $177.70 / $190.86 / $15,218.78	Facility		$177.70	$190.86	$15,218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $142.76 / $33,749.66	Professional		$108.34	$142.76	$33,749.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $97.50 / $131.62	Professional		$75.00	$97.50	$131.62
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00