Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $4,846.00 / $4,846.00	Facility		$1,386.00	$4,846.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $214.00 / $1,386.00	Professional		$214.00	$214.00	$1,386.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $1.35	Professional		$0.02	$0.02	$1.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16,413.57 / $121,498.80 / $157,498.40	Facility		$16,413.57	$121,498.80	$157,498.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121,498.79 / $145,798.54 / $182,248.18	Professional		$121,498.79	$145,798.54	$182,248.18