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 $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,896.00 / $8,230.00	Facility		$540.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $313.52 / $423.25	Professional		$162.72	$313.52	$423.25
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 $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00