Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.39 / $2,121.25 / $16,042.00	Facility		$825.39	$2,121.25	$16,042.00
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 $807.39 / $1,108.18 / $1,662.27	Facility		$807.39	$1,108.18	$1,662.27
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