Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.47 / $4,723.00 / $10,817.74	Facility		$1,113.47	$4,723.00	$10,817.74
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 $754.11 / $822.66 / $1,197.90	Facility		$754.11	$822.66	$1,197.90
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