Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $119.56 / $143.25	Professional		$77.98	$119.56	$143.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $110.00 / $199.10	Professional		$87.47	$110.00	$199.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $48,999.51 / $59,702.01	Facility		$86.93	$48,999.51	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $73.89 / $73.89	Professional		$73.89	$73.89	$73.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $64.91 / $120.23	Professional		$46.92	$64.91	$120.23