Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,716.00 / $8,229.00	Facility		$416.00	$1,716.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.00 / $2,843.00 / $8,229.00	Professional		$1,023.00	$2,843.00	$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 $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 $72.23 / $95.18 / $59,061.91	Professional		$72.23	$95.18	$59,061.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $67.50	Professional		$50.00	$60.00	$67.50
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00