Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $8,154.66 / $13,310.16	Facility		$1,386.00	$8,154.66	$13,310.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.21 / $946.21 / $946.21	Professional		$946.21	$946.21	$946.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,110.00 / $11,249.00 / $30,091.00	Facility		$3,110.00	$11,249.00	$30,091.00
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 / $36,999.62 / $74,249.25	Facility		$26,999.73	$36,999.62	$74,249.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,999.73 / $33,749.66 / $52,649.48	Professional		$26,999.73	$33,749.66	$52,649.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00