Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.08 / $492.18 / $4,846.00	Facility		$201.08	$492.18	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.54 / $100.54 / $155.72	Facility	52	$100.54	$100.54	$155.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $12,775.00 / $30,091.00	Facility		$1,935.00	$12,775.00	$30,091.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.99 / $239.59 / $276.45	Facility		$187.99	$239.59	$276.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00