Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,576.00 / $12,424.00	Facility		$1,819.00	$5,576.00	$12,424.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,040.00 / $10,294.00 / $19,351.80	Facility		$5,040.00	$10,294.00	$19,351.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,122.06 / $2,122.06 / $18,749.82	Facility		$2,122.06	$2,122.06	$18,749.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,718.06 / $1,718.06 / $7,227.90	Facility		$1,718.06	$1,718.06	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,039.23 / $1,039.23 / $1,039.23	Facility	62	$1,039.23	$1,039.23	$1,039.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $166.28 / $166.28 / $166.28	Facility	AS	$166.28	$166.28	$166.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,931.43 / $47,618.00	Facility		$332.00	$1,931.43	$47,618.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,718.06 / $74,999.25	Facility		$555.00	$1,718.06	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,039.23 / $1,039.23 / $1,039.23	Facility	62	$1,039.23	$1,039.23	$1,039.23
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $166.28 / $166.28 / $166.28	Facility	AS	$166.28	$166.28	$166.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,871.75 / $1,871.75 / $2,416.63	Facility		$1,871.75	$1,871.75	$2,416.63