Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.73 / $1,654.00 / $9,311.00	Facility		$577.73	$1,654.00	$9,311.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $621.97 / $892.47 / $1,029.53	Facility		$621.97	$892.47	$1,029.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.48 / $784.48 / $907.22	Facility		$784.48	$784.48	$907.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $78.22	Facility	AS	$78.22	$78.22	$78.22
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