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 $4,128.00 / $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 $965.25 / $1,237.28 / $26,999.73	Facility		$965.25	$1,237.28	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $945.00 / $33,749.66	Professional		$700.00	$945.00	$33,749.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $650.00 / $877.50	Professional		$500.00	$650.00	$877.50
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00