Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.00 / $4,846.00 / $5,634.00	Facility		$543.00	$4,846.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $195.50 / $600.00	Professional		$112.00	$195.50	$600.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,915.00 / $8,240.00 / $28,794.00	Facility		$2,915.00	$8,240.00	$28,794.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $32,399.68 / $74,249.25	Facility		$26,999.73	$32,399.68	$74,249.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20,999.79 / $31,049.69 / $36,449.64	Professional		$20,999.79	$31,049.69	$36,449.64
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00