Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.12 / $1,386.00 / $5,634.00	Facility		$165.12	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.82 / $352.82 / $680.94	Facility		$352.82	$352.82	$680.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.77 / $207.45 / $239.37	Facility		$162.77	$207.45	$239.37
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