Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.19 / $1,386.00 / $5,634.00	Facility		$135.19	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $135.72 / $261.94	Facility		$135.72	$135.72	$261.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $173.45 / $200.13	Facility		$133.41	$173.45	$200.13
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