Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $1,386.00 / $5,634.00	Facility		$130.88	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.33 / $130.33 / $251.54	Facility		$130.33	$130.33	$251.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.88 / $164.94 / $190.32	Facility		$126.88	$164.94	$190.32
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