Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $700.00 / $700.00	Professional		$87.65	$700.00	$700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $73.08 / $73.08	Professional		$30.00	$73.08	$73.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $128.25 / $179.55	Facility		$128.25	$128.25	$179.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $147.49 / $197.51	Professional		$133.00	$147.49	$197.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00