Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.87 / $1,351.75 / $8,229.00	Facility		$774.87	$1,351.75	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.39 / $1,205.44 / $1,390.57	Facility		$837.39	$1,205.44	$1,390.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.41 / $1,056.44 / $1,056.44	Facility		$938.41	$1,056.44	$1,056.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.91 / $104.91 / $104.91	Facility	AS	$104.91	$104.91	$104.91
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00