Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,495.00 / $8,229.00	Facility		$637.00	$2,495.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $2,843.00 / $8,229.00	Professional		$1,820.00	$2,843.00	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,389.00 / $8,517.00	Facility		$1,643.00	$3,389.00	$8,517.00
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00