Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.57 / $2,198.81 / $7,212.00	Facility		$855.57	$2,198.81	$7,212.00
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 $866.16 / $1,188.84 / $1,783.28	Facility		$866.16	$1,188.84	$1,783.28
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