Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $1,689.53 / $8,229.00	Facility		$416.00	$1,689.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,689.53 / $1,689.53 / $1,689.53	Professional		$1,689.53	$1,689.53	$1,689.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$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 $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