Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,999.91 / $4,792.00 / $10,024.00	Facility		$1,999.91	$4,792.00	$10,024.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,434.00 / $12,008.00	Facility		$3,283.00	$5,434.00	$12,008.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,200.63 / $3,200.63 / $37,499.62	Facility		$3,200.63	$3,200.63	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,565.08 / $2,565.08 / $2,565.08	Facility		$2,565.08	$2,565.08	$2,565.08
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,579.13 / $1,579.13 / $1,579.13	Facility	62	$1,579.13	$1,579.13	$1,579.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $252.66 / $252.66 / $252.66	Facility	AS	$252.66	$252.66	$252.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,391.44 / $5,873.78	Facility		$332.00	$2,391.44	$5,873.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,565.08 / $74,999.25	Facility		$555.00	$2,565.08	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,579.13 / $1,579.13 / $1,579.13	Facility	62	$1,579.13	$1,579.13	$1,579.13
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $252.66 / $252.66 / $252.66	Facility	AS	$252.66	$252.66	$252.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,840.00 / $9,416.00	Facility		$1,925.00	$4,840.00	$9,416.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,423.67 / $2,423.67 / $8,301.73	Facility		$2,423.67	$2,423.67	$8,301.73