Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.80 / $3,996.00 / $10,024.00	Facility		$344.80	$3,996.00	$10,024.00
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 $358.27 / $358.27 / $12,319.50	Facility		$358.27	$358.27	$12,319.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.42 / $288.42 / $13,296.25	Facility		$288.42	$288.42	$13,296.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	AS	$28.15	$28.15	$28.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $302.45 / $663.55	Facility		$215.00	$302.45	$663.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $288.42 / $597.00 / $13,296.25	Facility		$288.42	$597.00	$13,296.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	AS	$28.15	$28.15	$28.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,395.00 / $14,770.00	Facility		$2,705.00	$7,395.00	$14,770.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $270.47 / $270.47 / $565.62	Facility		$270.47	$270.47	$565.62