Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,949.84 / $9,772.37	Facility		$851.14	$1,949.84	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $9,549.93	Facility		$2,630.27	$4,073.80	$9,549.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,445.44	Facility		$794.33	$1,096.48	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,290.87	Facility		$1,288.25	$1,513.56	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	22	$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	AS	$151.36	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69