Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $3,516.00 / $9,038.00	Facility		$163.01	$3,516.00	$9,038.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,695.25 / $3,695.25 / $3,695.25	Facility	50	$3,695.25	$3,695.25	$3,695.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $172.47 / $172.47 / $37,499.62	Facility		$172.47	$172.47	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $14,648.00	Facility		$138.91	$138.91	$14,648.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $83.65 / $83.65 / $83.65	Facility	62	$83.65	$83.65	$83.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.38 / $13.38 / $13.38	Facility	AS	$13.38	$13.38	$13.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $127.10 / $213.93 / $708.82	Facility		$127.10	$213.93	$708.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $555.00 / $74,999.25	Facility		$138.91	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $83.65 / $83.65 / $83.65	Facility	62	$83.65	$83.65	$83.65
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $13.38 / $13.38 / $13.38	Facility	AS	$13.38	$13.38	$13.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $150.71 / $150.71 / $204.10	Facility		$150.71	$150.71	$204.10