Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $33.79 / $48.75	Facility		$22.45	$33.79	$48.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.45 / $31.18	Professional		$19.50	$22.45	$31.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.25 / $82.25 / $1,416.06	Facility		$82.25	$82.25	$1,416.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $82.25 / $130.77	Professional		$65.80	$82.25	$130.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.76 / $6,416.35 / $10,780.56	Facility		$427.76	$6,416.35	$10,780.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.24 / $419.24 / $598.91	Professional		$419.24	$419.24	$598.91
United Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $35.21 / $64.54	Professional		$29.27	$35.21	$64.54