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 / $6,882.92	Facility		$416.00	$1,716.00	$6,882.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.45 / $385.60 / $1,152.00	Professional		$191.45	$385.60	$1,152.00
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 $5,896.80 / $6,928.74 / $15,228.53	Facility		$5,896.80	$6,928.74	$15,228.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,920.00 / $5,292.00 / $33,749.66	Professional		$3,920.00	$5,292.00	$33,749.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $3,640.00 / $4,550.00	Professional		$2,800.00	$3,640.00	$4,550.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00