Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $10,000.00	Facility		$1,778.28	$4,265.80	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $25,703.96 / $38,904.51	Facility		$5,888.44	$25,703.96	$38,904.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,691.53	Facility		$1,584.89	$2,041.74	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $2,884.03	Facility		$34.67	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility	22	$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	62	$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	AS	$288.40	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $15,135.61	Facility		$977.24	$5,011.87	$15,135.61