Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.63 / $1,571.63 / $1,571.63	Facility		$1,571.63	$1,571.63	$1,571.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,571.63 / $1,571.63 / $1,571.63	Professional		$1,571.63	$1,571.63	$1,571.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.69 / $732.50 / $1,167.13	Professional		$407.69	$732.50	$1,167.13
United Facility/Professional Professional Modifier Low / Median / High Price $514.97 / $693.13 / $1,501.42	Professional		$514.97	$693.13	$1,501.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $334.72 / $426.01	Professional		$304.29	$334.72	$426.01