Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.87 / $2,318.00 / $5,634.00	Facility		$285.87	$2,318.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.40 / $448.40 / $865.41	Facility		$448.40	$448.40	$865.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $359.83 / $415.19	Facility		$276.79	$359.83	$415.19
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $5,520.00	Facility		$933.00	$2,252.00	$5,520.00