Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $1,386.00 / $5,634.00	Facility		$163.44	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.39 / $273.39 / $527.66	Facility		$273.39	$273.39	$527.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.06 / $205.48 / $237.09	Facility		$158.06	$205.48	$237.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,348.00 / $12,569.00	Facility		$3,932.00	$8,348.00	$12,569.00