Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $1,773.00 / $5,634.00	Facility		$75.30	$1,773.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $3,548.00 / $4,847.00	Facility		$1,365.00	$3,548.00	$4,847.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.59 / $88.70 / $102.35	Facility		$69.59	$88.70	$102.35
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