Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.60 / $416.00 / $3,740.00	Facility		$111.60	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $119.35 / $131.10	Professional		$111.60	$119.35	$131.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $110.21 / $127.36	Professional		$82.65	$110.21	$127.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.57 / $115.88 / $181.78	Facility		$96.57	$115.88	$181.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $159.05 / $227.22	Professional		$123.85	$159.05	$227.22
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $170.33 / $220.61	Professional		$122.76	$170.33	$220.61