Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $1,386.00 / $4,846.00	Facility		$945.74	$1,386.00	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $876.22 / $1,116.75 / $1,288.56	Facility		$876.22	$1,116.75	$1,288.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,148.00 / $6,094.00 / $12,090.00	Facility		$2,148.00	$6,094.00	$12,090.00