Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.50 / $223.50 / $223.50	Facility		$223.50	$223.50	$223.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $220.42 / $223.50	Professional		$173.09	$220.42	$223.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $700.00 / $700.00	Professional		$595.00	$700.00	$700.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53,899.46 / $53,899.46 / $53,899.46	Facility		$53,899.46	$53,899.46	$53,899.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00