Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $87.65 / $1,263.15	Facility		$87.65	$87.65	$1,263.15
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 / $38.94 / $73.08	Professional		$30.00	$38.94	$73.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $128.25 / $156.75	Facility		$128.25	$128.25	$156.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00