Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,388.80 / $8,229.00	Facility		$896.00	$1,388.80	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,271.00 / $19,633.66 / $34,155.00	Facility		$9,271.00	$19,633.66	$34,155.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.42 / $1,553.45 / $1,792.02	Facility		$1,076.42	$1,553.45	$1,792.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,360.16 / $1,360.16 / $1,367.52	Facility		$1,360.16	$1,360.16	$1,367.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.00 / $135.00 / $135.00	Facility	AS	$135.00	$135.00	$135.00
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