Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.88 / $1,386.00 / $4,846.00	Facility		$748.88	$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 $802.53 / $1,094.35 / $1,641.54	Facility		$802.53	$1,094.35	$1,641.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00