Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $8,912.51 / $11,748.98	Facility		$724.44	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,162.28 / $3,162.28	Professional		$954.99	$3,162.28	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,760.83 / $16,982.44	Facility		$2,238.72	$6,760.83	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $5,370.32	Professional		$2,630.27	$3,388.44	$5,370.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60,255.96 / $72,443.60 / $79,432.82	Facility		$60,255.96	$72,443.60	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $79,432.82	Professional		$75,857.76	$75,857.76	$79,432.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,691.53 / $6,760.83	Facility		$575.44	$2,691.53	$6,760.83