Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.09 / $1,386.00 / $4,846.00	Facility		$1,112.09	$1,386.00	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $9,200.00 / $18,942.00	Facility		$1,614.00	$9,200.00	$18,942.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,107.88 / $1,412.01 / $1,629.24	Facility		$1,107.88	$1,412.01	$1,629.24
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