Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.72 / $1,386.00 / $4,846.00	Facility		$271.72	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.88 / $369.31 / $445.83	Professional		$253.88	$369.31	$445.83
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 $410.23 / $6,153.47 / $9,780.75	Facility		$410.23	$6,153.47	$9,780.75
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 $375.48 / $471.53 / $799.25	Professional		$375.48	$471.53	$799.25