Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,085.10 / $3,764.10	Facility		$100.00	$1,085.10	$3,764.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,085.11	Professional		$1,085.10	$1,085.11	$1,085.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,300.00	Facility		$8,512.20	$9,458.00	$17,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.25 / $777.15 / $889.64	Professional		$651.25	$777.15	$889.64
United Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $4,574.00 / $11,155.00	Facility		$972.00	$4,574.00	$11,155.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,750.00 / $3,375.00 / $4,735.00	Professional		$2,750.00	$3,375.00	$4,735.00