Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,765.00	Professional		$1,300.00	$1,300.00	$1,765.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,504.81 / $47,999.52 / $62,999.37	Facility		$9,504.81	$47,999.52	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43,499.57 / $47,249.53 / $50,749.49	Professional		$43,499.57	$47,249.53	$50,749.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00