Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $8,229.00 / $8,229.00	Facility		$787.00	$8,229.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $678.00 / $8,229.00	Professional		$526.00	$678.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,605.99 / $9,122.94 / $15,243.15	Facility		$4,605.99	$9,122.94	$15,243.15
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 $37,799.62 / $85,049.15 / $115,423.80	Facility		$37,799.62	$85,049.15	$115,423.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29,999.70 / $67,499.33 / $97,199.03	Professional		$29,999.70	$67,499.33	$97,199.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $65.00	Professional		$45.00	$45.00	$65.00
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