Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,967.89 / $8,229.00	Facility		$416.00	$1,967.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $616.00 / $3,740.00	Professional		$616.00	$616.00	$3,740.00
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 $1,350.47 / $1,450.51 / $15,213.98	Facility		$1,350.47	$1,450.51	$15,213.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $823.37 / $1,085.00 / $59,061.91	Professional		$823.37	$1,085.00	$59,061.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $741.00 / $1,000.35	Professional		$570.00	$741.00	$1,000.35
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00