Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.54 / $3,324.42 / $10,635.00	Facility		$1,069.54	$3,324.42	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $723.73 / $789.53 / $1,149.67	Facility		$723.73	$789.53	$1,149.67
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