Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.28 / $1,386.00 / $5,634.00	Facility		$217.28	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.75 / $228.75 / $441.49	Facility		$228.75	$228.75	$441.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.80 / $271.44 / $313.20	Facility		$208.80	$271.44	$313.20
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