Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.37 / $2,318.00 / $14,063.00	Facility		$502.37	$2,318.00	$14,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $19,595.20 / $27,445.62	Facility		$4,800.00	$19,595.20	$27,445.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.83 / $639.38 / $737.75	Facility		$491.83	$639.38	$737.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,058.00 / $12,330.00 / $17,416.00	Facility		$5,058.00	$12,330.00	$17,416.00