Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,606.15 / $2,606.15 / $2,606.15	Facility		$2,606.15	$2,606.15	$2,606.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,606.15 / $2,606.15 / $2,606.15	Professional		$2,606.15	$2,606.15	$2,606.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.07 / $1,180.79 / $1,884.21	Professional		$654.07	$1,180.79	$1,884.21
United Facility/Professional Professional Modifier Low / Median / High Price $867.39 / $1,025.26 / $2,401.69	Professional		$867.39	$1,025.26	$2,401.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $491.06 / $540.16 / $687.48	Professional		$491.06	$540.16	$687.48