Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.78 / $1,204.32 / $5,320.00	Facility		$691.78	$1,204.32	$5,320.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.06 / $1,051.13 / $1,212.56	Facility		$743.06	$1,051.13	$1,212.56
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00