Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.72 / $1.72	Professional		$1.72	$1.72	$1.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $93.12	Facility		$93.11	$93.11	$93.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $76.48 / $93.12	Professional		$68.98	$76.48	$93.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,811.88 / $2,811.88 / $2,896.24	Professional		$2,811.88	$2,811.88	$2,896.24