Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.33 / $1,386.00 / $4,846.00	Facility		$645.33	$1,386.00	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,085.00 / $18,927.70 / $28,794.00	Facility		$6,085.00	$18,927.70	$28,794.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $640.69 / $816.57 / $942.20	Facility		$640.69	$816.57	$942.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,660.00 / $11,929.00	Facility		$1,403.00	$5,660.00	$11,929.00