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 / $4,846.00	Facility		$1,386.00	$4,846.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $44.40 / $44.40	Professional		$44.40	$44.40	$44.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
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 / $26,999.73 / $38,999.61	Facility		$26,999.73	$26,999.73	$38,999.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,999.73 / $33,749.66 / $40,499.60	Professional		$26,999.73	$33,749.66	$40,499.60
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