Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.97 / $1,386.00 / $4,846.00	Facility		$1,019.97	$1,386.00	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $10,300.00 / $21,000.00	Facility		$1,614.00	$10,300.00	$21,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $845.82 / $1,078.01 / $1,243.85	Facility		$845.82	$1,078.01	$1,243.85
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