Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $354.66 / $5,634.00	Facility		$115.13	$354.66	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $3,548.00 / $4,847.00	Facility		$1,365.00	$3,548.00	$4,847.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.32 / $166.52 / $179.33	Facility		$114.32	$166.52	$179.33
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00