Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.95 / $1,386.00 / $5,634.00	Facility		$206.95	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.16 / $295.16 / $569.66	Facility		$295.16	$295.16	$569.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.88 / $259.83 / $305.76	Facility		$199.88	$259.83	$305.76
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