Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.92 / $1,386.00 / $5,634.00	Facility		$193.92	$1,386.00	$5,634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.10 / $220.10 / $424.79	Facility		$220.10	$220.10	$424.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.01 / $195.60 / $221.26	Facility		$177.01	$195.60	$221.26
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