Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.68 / $2,318.00 / $14,063.00	Facility		$962.68	$2,318.00	$14,063.00
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 $765.48 / $975.61 / $1,125.71	Facility		$765.48	$975.61	$1,125.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00