Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $4,897.79	Facility		$2,344.23	$3,715.35	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $40,738.03 / $57,543.99	Facility		$16,982.44	$40,738.03	$57,543.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $2,754.23	Facility		$2,344.23	$2,570.40	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64