Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $2,547.00 / $10,635.00	Facility		$177.47	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.35 / $129.90 / $2,475.00	Professional		$119.35	$129.90	$2,475.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $111.36 / $190.37	Professional		$88.79	$111.36	$190.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $118.42 / $127.33	Professional		$118.42	$118.42	$127.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $108.04 / $130.28	Professional		$88.52	$108.04	$130.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,499.00 / $4,951.00	Facility		$1,689.00	$2,499.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $156.26 / $246.53	Professional		$118.94	$156.26	$246.53