Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,354.00 / $2,747.00	Facility		$787.00	$1,354.00	$2,747.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $904.85 / $1,317.93 / $1,520.32	Facility		$904.85	$1,317.93	$1,520.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.86 / $1,160.86 / $1,426.21	Facility		$1,160.86	$1,160.86	$1,426.21
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00