Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $150.00 / $391.50	Facility		$99.00	$150.00	$391.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $150.00 / $150.00	Professional		$77.91	$150.00	$150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $50.25 / $400.00	Professional		$0.02	$50.25	$400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $143.52 / $175.41	Facility		$138.19	$143.52	$175.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $140.96 / $226.30	Professional		$129.93	$140.96	$226.30