Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,801.89 / $5,623.41	Facility		$204.17	$3,801.89	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $263.03	Facility		$134.90	$134.90	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $147.91 / $165.96	Facility		$134.90	$147.91	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,238.72 / $7,413.10	Facility		$933.25	$2,238.72	$7,413.10