Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $1,386.00 / $5,634.00	Facility		$116.11	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $116.11 / $117.68	Professional		$104.91	$116.11	$117.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,790.87 / $8,240.00	Facility		$1,153.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $140.40 / $189.54	Professional		$104.47	$140.40	$189.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $136.32 / $159.04	Facility		$101.39	$136.32	$159.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $136.32 / $161.91	Professional		$113.60	$136.32	$161.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $137.32 / $241.48	Professional		$102.38	$137.32	$241.48