Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.63 / $4,947.00 / $11,627.00	Facility		$1,097.63	$4,947.00	$11,627.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.37 / $865.50 / $1,149.50	Facility		$674.37	$865.50	$1,149.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00