Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $26.28 / $26.28	Facility		$26.28	$26.28	$26.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $26.28 / $26.28	Professional		$26.28	$26.28	$26.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.30 / $115.30 / $161.41	Facility		$115.30	$115.30	$161.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.57 / $132.60 / $177.57	Professional		$119.57	$132.60	$177.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00