Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,673.34 / $8,229.00	Facility		$896.00	$1,673.34	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.55 / $1,898.62 / $2,190.21	Facility		$1,316.55	$1,898.62	$2,190.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,647.70 / $1,668.85 / $1,668.85	Facility		$1,647.70	$1,668.85	$1,668.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $165.90	Facility	AS	$165.90	$165.90	$165.90
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