Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,442.87 / $10,152.00	Facility		$896.00	$1,442.87	$10,152.00
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 $1,013.51 / $1,462.61 / $1,687.22	Facility		$1,013.51	$1,462.61	$1,687.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.74 / $1,280.74 / $1,420.77	Facility		$1,280.74	$1,280.74	$1,420.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.13 / $127.13 / $127.13	Facility	AS	$127.13	$127.13	$127.13
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