Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,135.99 / $8,229.00	Facility		$860.00	$3,135.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $7,549.01	Professional		$3,135.99	$3,135.99	$7,549.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.47 / $2,632.36 / $4,140.28	Professional		$740.47	$2,632.36	$4,140.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $37,799.62 / $53,899.46	Facility		$26,999.73	$37,799.62	$53,899.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27,999.72 / $31,049.69 / $37,799.62	Professional		$27,999.72	$31,049.69	$37,799.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00