Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,897.79 / $17,378.01	Facility		$1,621.81	$4,897.79	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $40,738.03 / $57,543.99	Facility		$25,118.86	$40,738.03	$57,543.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,479.11	Facility		$1,258.93	$1,380.38	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $11,481.54 / $17,378.01	Facility		$5,128.61	$11,481.54	$17,378.01