Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,755.98 / $2,747.00	Facility		$787.00	$1,755.98	$2,747.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,094.92 / $7,865.98 / $12,362.12	Facility		$4,094.92	$7,865.98	$12,362.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,423.15 / $2,059.19 / $2,375.42	Facility		$1,423.15	$2,059.19	$2,375.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,729.09 / $1,802.76 / $1,802.76	Facility		$1,729.09	$1,802.76	$1,802.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.36 / $178.36 / $178.36	Facility	AS	$178.36	$178.36	$178.36
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00