Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.02 / $1,386.00 / $4,846.00	Facility		$762.02	$1,386.00	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,085.00 / $18,927.70 / $28,794.00	Facility		$6,085.00	$18,927.70	$28,794.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.15 / $1,056.21 / $1,584.32	Facility		$748.15	$1,056.21	$1,584.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,526.00 / $14,061.00 / $19,962.00	Facility		$6,526.00	$14,061.00	$19,962.00