Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.62 / $1,386.00 / $4,846.00	Facility		$185.62	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $260.98 / $504.80	Professional		$173.52	$260.98	$504.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $29,200.00 / $56,650.00	Facility		$2,233.00	$29,200.00	$56,650.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $182.00 / $251.16	Professional		$121.09	$182.00	$251.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $4,199.43 / $6,676.02	Facility		$279.95	$4,199.43	$6,676.02
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.77 / $577.02 / $997.76	Professional		$430.77	$577.02	$997.76