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 $413.00 / $678.00 / $8,229.00	Professional		$413.00	$678.00	$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 $289.58 / $371.18 / $26,999.73	Facility		$289.58	$371.18	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $283.50 / $33,749.66	Professional		$210.00	$283.50	$33,749.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $195.00 / $263.25	Professional		$150.00	$195.00	$263.25
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00