Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $4,846.00 / $10,985.00	Facility		$1,386.00	$4,846.00	$10,985.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,187.00 / $4,187.00 / $4,573.00	Professional		$4,187.00	$4,187.00	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $7,572.00 / $18,942.00	Facility		$1,436.00	$7,572.00	$18,942.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.59 / $1,436.00 / $1,938.60	Professional		$1,220.59	$1,436.00	$1,938.60
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 $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00