Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,596.20 / $8,229.00	Facility		$896.00	$1,596.20	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,342.43 / $1,967.07 / $2,269.15	Facility		$1,342.43	$1,967.07	$2,269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,571.74 / $1,723.40 / $1,723.40	Facility		$1,571.74	$1,723.40	$1,723.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.16 / $171.16 / $171.16	Facility	AS	$171.16	$171.16	$171.16
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00