Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.08 / $1,386.00 / $4,846.00	Facility		$1,147.08	$1,386.00	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $12,775.00 / $30,091.00	Facility		$1,935.00	$12,775.00	$30,091.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.21 / $1,372.92 / $1,584.14	Facility		$1,077.21	$1,372.92	$1,584.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00