Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.00 / $4,846.00 / $5,634.00	Facility		$824.00	$4,846.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.00 / $1,686.00 / $4,573.00	Professional		$1,686.00	$1,686.00	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $73.55 / $116.82	Professional		$38.72	$73.55	$116.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $52,499.48 / $89,999.10	Facility		$43,749.56	$52,499.48	$89,999.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00