Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.00 / $5,985.83 / $19,148.00	Facility		$1,030.00	$5,985.83	$19,148.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $13,539.91 / $13,539.91 / $13,539.91	Facility	22	$13,539.91	$13,539.91	$13,539.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,499.20 / $7,250.13 / $25,286.02	Facility	50	$4,499.20	$7,250.13	$25,286.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,321.00 / $8,832.00 / $25,131.90	Facility		$3,321.00	$8,832.00	$25,131.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.95 / $1,155.30 / $1,789.10	Facility		$851.95	$1,155.30	$1,789.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,594.87 / $3,594.87 / $3,594.87	Facility		$3,594.87	$3,594.87	$3,594.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00