Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.10 / $1,391.00 / $14,063.00	Facility		$218.10	$1,391.00	$14,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.50 / $386.50 / $745.95	Facility		$386.50	$386.50	$745.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.99 / $274.29 / $316.49	Facility		$210.99	$274.29	$316.49
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $2,291.00 / $4,426.00	Facility		$899.00	$2,291.00	$4,426.00