Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $1,386.00 / $4,846.00	Facility		$780.60	$1,386.00	$4,846.00
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 $748.15 / $1,026.86 / $1,540.31	Facility		$748.15	$1,026.86	$1,540.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,051.00 / $11,452.00 / $17,416.00	Facility		$5,051.00	$11,452.00	$17,416.00