Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $4,897.79	Facility		$1,995.26	$3,467.37	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $30,199.52 / $41,686.94	Facility		$12,589.25	$30,199.52	$41,686.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,454.71	Facility		$2,089.30	$2,137.96	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64