Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.71 / $821.35 / $8,229.00	Facility		$764.71	$821.35	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $10,099.00 / $25,200.51	Facility		$6,153.00	$10,099.00	$25,200.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $761.62 / $1,045.34 / $1,205.89	Facility		$761.62	$1,045.34	$1,205.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.47 / $915.47 / $1,402.45	Facility		$915.47	$915.47	$1,402.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.74 / $89.74 / $89.74	Facility	AS	$89.74	$89.74	$89.74
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00