Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.34 / $8,249.29 / $29,762.21	Facility		$1,359.34	$8,249.29	$29,762.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,636.12 / $13,636.12 / $13,636.12	Facility	50	$13,636.12	$13,636.12	$13,636.12
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $679.67 / $679.67 / $1,109.52	Facility	52	$679.67	$679.67	$1,109.52
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 $1,395.10 / $1,969.56 / $2,954.34	Facility		$1,395.10	$1,969.56	$2,954.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00