Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $4,043.00 / $9,267.00	Facility		$437.72	$4,043.00	$9,267.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,568.00 / $7,578.00 / $14,193.00	Facility		$4,568.00	$7,578.00	$14,193.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.44 / $428.44 / $12,319.50	Facility		$428.44	$428.44	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.66 / $346.66 / $13,296.25	Facility		$346.66	$346.66	$13,296.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $33.82 / $33.82 / $33.82	Facility	AS	$33.82	$33.82	$33.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $332.00 / $810.25	Facility		$250.00	$332.00	$810.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $346.66 / $597.00 / $13,296.25	Facility		$346.66	$597.00	$13,296.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $33.82 / $33.82 / $33.82	Facility	AS	$33.82	$33.82	$33.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $323.85 / $323.85 / $667.17	Facility		$323.85	$323.85	$667.17