Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $79.61 / $129.00	Facility		$79.61	$79.61	$129.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $99.23 / $114.50	Facility		$77.86	$99.23	$114.50
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