Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.73 / $1,243.00 / $13,304.00	Facility		$684.73	$1,243.00	$13,304.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.15 / $1,175.40 / $1,355.90	Facility		$864.15	$1,175.40	$1,355.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.30 / $1,032.30 / $1,032.30	Facility		$1,032.30	$1,032.30	$1,032.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.00 / $102.00 / $102.00	Facility	AS	$102.00	$102.00	$102.00
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00