Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $7,200.35 / $9,247.15	Facility		$2,924.00	$7,200.35	$9,247.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $2,924.00 / $8,128.72	Professional		$2,924.00	$2,924.00	$8,128.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Facility		$0.02	$0.02	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,833.33 / $2,833.33 / $5,145.32	Professional		$2,833.33	$2,833.33	$5,145.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,106.75 / $59,702.01	Facility		$3,106.75	$3,106.75	$59,702.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,838.44 / $3,838.44 / $3,838.44	Facility		$3,838.44	$3,838.44	$3,838.44
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,355.29	Professional		$3,045.83	$3,045.83	$3,355.29