Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,897.79 / $14,454.40	Facility		$1,000.00	$4,897.79	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $34,673.69 / $34,673.69	Facility		$10,232.93	$34,673.69	$34,673.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,344.23	Facility		$1,318.26	$1,819.70	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,511.89 / $2,511.89	Facility		$34.67	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	22	$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	52	$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	AS	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,760.83 / $31,622.78	Facility		$1,174.90	$6,760.83	$31,622.78