Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.09 / $1,107.14 / $8,229.00	Facility		$635.09	$1,107.14	$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 $683.51 / $968.18 / $1,116.88	Facility		$683.51	$968.18	$1,116.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.79 / $869.79 / $977.81	Facility		$869.79	$869.79	$977.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.98 / $86.98 / $86.98	Facility	AS	$86.98	$86.98	$86.98
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00