Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $8,511.38	Facility		$851.14	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,265.80	Professional		$3,162.28	$3,162.28	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,715.19 / $11,220.18	Facility		$6,606.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,630.27 / $3,235.94	Professional		$812.83	$2,630.27	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53,703.18 / $53,703.18 / $61,659.50	Facility		$53,703.18	$53,703.18	$61,659.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $3,019.95	Professional		$44.67	$44.67	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52