Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,751.30 / $10,152.00	Facility		$896.00	$2,751.30	$10,152.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,733.01 / $3,733.01 / $3,733.01	Facility	50	$3,733.01	$3,733.01	$3,733.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,157.00 / $10,032.78	Facility		$2,088.00	$4,157.00	$10,032.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,566.59 / $3,501.65 / $4,039.40	Facility		$2,566.59	$3,501.65	$4,039.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,928.37 / $3,066.37 / $3,066.37	Facility		$2,928.37	$3,066.37	$3,066.37
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,892.76 / $1,892.76 / $1,892.76	Facility	62	$1,892.76	$1,892.76	$1,892.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $302.83 / $302.83 / $302.83	Facility	AS	$302.83	$302.83	$302.83
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