Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,000.00 / $3,890.45	Facility		$398.11	$1,000.00	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $467.74 / $616.60	Facility		$363.08	$467.74	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $660.69 / $660.69	Facility		$34.67	$660.69	$660.69
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	22	$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	62	$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	AS	$66.07	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28