Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.48 / $1,320.35 / $8,229.00	Facility		$755.48	$1,320.35	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.54 / $1,174.11 / $1,354.43	Facility		$817.54	$1,174.11	$1,354.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $960.03 / $1,031.88 / $1,031.88	Facility		$960.03	$1,031.88	$1,031.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.45 / $102.45 / $102.45	Facility	AS	$102.45	$102.45	$102.45
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