Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,770.56 / $7,702.00	Facility		$991.00	$1,770.56	$7,702.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $26,311.85 / $79,432.60	Facility		$6,559.00	$26,311.85	$79,432.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,414.55 / $1,909.64 / $2,334.01	Facility		$1,414.55	$1,909.64	$2,334.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.20 / $1,738.20 / $1,743.44	Facility		$1,738.20	$1,738.20	$1,743.44
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $19,085.00	Facility		$1,168.00	$6,186.00	$19,085.00