Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.00 / $4,846.00 / $5,634.00	Facility		$824.00	$4,846.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $543.00 / $1,386.00	Professional		$543.00	$543.00	$1,386.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,320.00 / $9,270.00	Facility		$1,111.00	$4,320.00	$9,270.00
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 $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00