Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $1,905.46	Facility		$1,621.81	$1,819.70	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,174.90	Professional		$1,071.52	$1,071.52	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,090.30	Facility		$1,318.26	$2,398.83	$3,090.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,818.38	Professional		$1,778.28	$2,238.72	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,513.56	Professional		$933.25	$1,174.90	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,348.96	Facility		$1,174.90	$1,174.90	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,412.54	Professional		$588.84	$954.99	$1,412.54