Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.01 / $2,318.00 / $14,063.00	Facility		$924.01	$2,318.00	$14,063.00
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 $957.41 / $1,261.53 / $1,892.30	Facility		$957.41	$1,261.53	$1,892.30
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