Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.53 / $1,386.00 / $4,846.00	Facility		$865.53	$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 $775.23 / $988.04 / $1,140.05	Facility		$775.23	$988.04	$1,140.05
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