Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,227.69 / $3,740.00	Facility		$787.00	$1,227.69	$3,740.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.21 / $1,036.13 / $11,253.00	Facility		$343.21	$1,036.13	$11,253.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $858.92 / $1,274.78 / $1,470.56	Facility		$858.92	$1,274.78	$1,470.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.59 / $1,115.59 / $1,208.89	Facility		$1,115.59	$1,115.59	$1,208.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.42 / $109.42 / $109.42	Facility	AS	$109.42	$109.42	$109.42
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $19,085.00	Facility		$50.00	$668.00	$19,085.00