Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $954.99	Professional		$269.15	$281.84	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60,255.96 / $60,255.96 / $72,443.60	Facility		$60,255.96	$60,255.96	$72,443.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $60.26	Professional		$30.20	$33.11	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Facility		$257.04	$257.04	$309.03