Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Facility		$20.85	$20.85	$20.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $108.88 / $350.00	Professional		$30.00	$108.88	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $225.20 / $12,646.74	Facility		$34.88	$225.20	$12,646.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $193.46 / $193.46	Professional		$193.46	$193.46	$193.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $60.00	Professional		$30.00	$30.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00