Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,603.62 / $8,229.00	Facility		$896.00	$1,603.62	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,133.09 / $1,636.33 / $1,887.63	Facility		$1,133.09	$1,636.33	$1,887.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,433.27 / $1,433.27 / $1,579.05	Facility		$1,433.27	$1,433.27	$1,579.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.16 / $142.16 / $142.16	Facility	AS	$142.16	$142.16	$142.16
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