Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Facility		$358.00	$358.00	$358.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.00 / $358.00 / $358.00	Professional		$358.00	$358.00	$358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $47.64 / $81.95	Professional		$41.06	$47.64	$81.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $78.72	Facility		$64.41	$64.41	$78.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00