Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $3,740.00 / $8,229.00	Facility		$416.00	$3,740.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.00 / $755.65 / $3,633.75	Professional		$678.00	$755.65	$3,633.75
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 $29,999.70 / $67,499.33 / $97,199.03	Professional		$29,999.70	$67,499.33	$97,199.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $65.00	Professional		$45.00	$45.00	$65.00
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $399.00 / $3,176.00	Facility		$59.00	$399.00	$3,176.00