Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,539.94 / $8,229.00	Facility		$787.00	$1,539.94	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,436.53 / $1,959.93 / $2,260.92	Facility		$1,436.53	$1,959.93	$2,260.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,728.19 / $1,728.19 / $1,728.19	Facility		$1,728.19	$1,728.19	$1,728.19
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,045.99 / $1,045.99 / $1,045.99	Facility	62	$1,045.99	$1,045.99	$1,045.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $167.36 / $167.36 / $167.36	Facility	AS	$167.36	$167.36	$167.36
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