Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.75 / $4,846.00 / $12,288.86	Facility		$702.75	$4,846.00	$12,288.86
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $527.05 / $527.05 / $865.15	Facility	54	$527.05	$527.05	$865.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $5,126.00 / $8,240.00	Facility		$1,943.00	$5,126.00	$8,240.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $696.21 / $955.58 / $1,433.37	Facility		$696.21	$955.58	$1,433.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00