Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.40 / $1,386.00 / $4,846.00	Facility		$852.40	$1,386.00	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $10,389.62 / $15,154.00	Facility		$4,800.00	$10,389.62	$15,154.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $835.90 / $1,086.67 / $1,253.84	Facility		$835.90	$1,086.67	$1,253.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00