Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,846.00 / $17,225.00	Facility		$1,628.00	$4,846.00	$17,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,628.00	Professional		$1,386.00	$1,386.00	$1,628.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $990.00 / $1,366.20	Professional		$841.50	$990.00	$1,366.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $65,624.35 / $89,999.10	Facility		$43,749.56	$65,624.35	$89,999.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00