Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.73 / $4,846.00 / $11,093.00	Facility		$629.73	$4,846.00	$11,093.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,524.74 / $5,847.36 / $35,002.97	Facility	50	$3,524.74	$5,847.36	$35,002.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,239.00 / $7,890.00 / $37,919.46	Facility		$3,239.00	$7,890.00	$37,919.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $1,034.57 / $1,551.86	Facility		$758.68	$1,034.57	$1,551.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,254.24 / $4,254.24 / $4,254.24	Facility		$4,254.24	$4,254.24	$4,254.24
United Facility/Professional Facility Modifier Low / Median / High Price $5,431.00 / $12,296.00 / $17,380.00	Facility		$5,431.00	$12,296.00	$17,380.00