Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.30 / $2,528.00 / $10,152.00	Facility		$958.30	$2,528.00	$10,152.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $29,031.00 / $34,268.00	Facility		$5,350.00	$29,031.00	$34,268.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,028.74 / $1,485.93 / $1,714.12	Facility		$1,028.74	$1,485.93	$1,714.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.96 / $1,300.96 / $1,374.43	Facility		$1,300.96	$1,300.96	$1,374.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $128.96	Facility	AS	$128.96	$128.96	$128.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $35,462.00	Facility		$1,168.00	$6,186.00	$35,462.00