Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.49 / $1,604.52 / $16,042.00	Facility		$977.49	$1,604.52	$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 $968.41 / $1,329.19 / $1,993.79	Facility		$968.41	$1,329.19	$1,993.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,472.00 / $10,113.00 / $15,750.00	Facility		$4,472.00	$10,113.00	$15,750.00