Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.74 / $1,737.98 / $9,311.00	Facility		$911.74	$1,737.98	$9,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,886.00 / $13,424.22 / $20,256.82	Facility	50	$2,886.00	$13,424.22	$20,256.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.65 / $1,410.71 / $1,662.62	Facility		$1,007.65	$1,410.71	$1,662.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.23 / $1,233.17 / $1,233.17	Facility		$1,160.23	$1,233.17	$1,233.17
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.40 / $122.40 / $122.40	Facility	AS	$122.40	$122.40	$122.40
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