Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $3,447.00 / $10,152.00	Facility		$787.00	$3,447.00	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,616.00 / $2,843.00 / $10,152.00	Professional		$2,616.00	$2,843.00	$10,152.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
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 $60,749.39 / $85,049.15 / $115,423.90	Facility		$60,749.39	$85,049.15	$115,423.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $72,899.27 / $97,199.03	Professional		$52,499.48	$72,899.27	$97,199.03
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00