Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,919.00 / $5,000.00	Facility		$1,300.00	$3,919.00	$5,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.16 / $1,300.00 / $1,570.92	Professional		$199.16	$1,300.00	$1,570.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.00 / $4,144.00 / $6,133.00	Facility		$1,228.00	$4,144.00	$6,133.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.10 / $968.60 / $1,702.36	Professional		$853.10	$968.60	$1,702.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00