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 $1,184.63 / $1,272.38 / $15,218.78	Facility		$1,184.63	$1,272.38	$15,218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $31,049.69 / $85,656.64	Professional		$975.00	$31,049.69	$85,656.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $780.00 / $877.50	Professional		$650.00	$780.00	$877.50
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00