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 $102.00 / $2,239.19 / $2,597.60	Professional		$102.00	$2,239.19	$2,597.60
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 $148.50 / $190.35 / $26,999.73	Facility		$148.50	$190.35	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $141.75 / $33,749.66	Professional		$105.00	$141.75	$33,749.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $135.00	Professional		$75.00	$100.00	$135.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00