Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.92 / $4,846.00 / $16,572.95	Facility		$667.92	$4,846.00	$16,572.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,435.68 / $6,706.21 / $7,994.24	Facility	50	$1,435.68	$6,706.21	$7,994.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,953.00 / $11,915.00 / $25,750.00	Facility		$3,953.00	$11,915.00	$25,750.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $1,096.64 / $1,644.96	Facility		$776.79	$1,096.64	$1,644.96
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 $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00