Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.55 / $1,386.00 / $5,634.00	Facility		$111.55	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.62 / $133.62 / $257.89	Facility		$133.62	$133.62	$257.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $138.94 / $160.32	Facility		$106.88	$138.94	$160.32
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