Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.73 / $1,651.82 / $11,093.00	Facility		$642.73	$1,651.82	$11,093.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $10,389.62 / $15,154.00	Facility		$4,800.00	$10,389.62	$15,154.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $639.84 / $878.21 / $1,317.32	Facility		$639.84	$878.21	$1,317.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $7,830.00 / $12,569.00	Facility		$3,932.00	$7,830.00	$12,569.00