Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.93 / $1,386.00 / $4,846.00	Facility		$289.93	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.86 / $394.06 / $475.68	Professional		$270.86	$394.06	$475.68
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 $437.66 / $6,564.86 / $10,435.50	Facility		$437.66	$6,564.86	$10,435.50
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 $397.38 / $506.86 / $868.56	Professional		$397.38	$506.86	$868.56