Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.05 / $3,500.00 / $7,212.00	Facility		$857.05	$3,500.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.10 / $857.05 / $1,219.79	Professional		$798.10	$857.05	$1,219.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,700.00 / $28,091.00	Facility		$2,310.00	$10,700.00	$28,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $43.42 / $53.39	Professional		$36.90	$43.42	$53.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,347.87 / $20,218.02 / $32,139.45	Facility		$1,347.87	$20,218.02	$32,139.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.29 / $1,692.33 / $2,722.45	Professional		$1,311.29	$1,692.33	$2,722.45