Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,318.00 / $3,135.99 / $4,846.00	Facility		$2,318.00	$3,135.99	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,135.99 / $3,135.99 / $3,135.99	Professional		$3,135.99	$3,135.99	$3,135.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,838.00 / $11,448.89 / $16,998.06	Facility		$4,838.00	$11,448.89	$16,998.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.80 / $963.30 / $2,632.37	Professional		$818.80	$963.30	$2,632.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,999.73 / $27,999.72 / $38,999.61	Facility		$26,999.73	$27,999.72	$38,999.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,999.73 / $32,399.68 / $40,499.60	Professional		$26,999.73	$32,399.68	$40,499.60
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00