Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,607.37 / $8,229.00	Facility		$860.00	$1,607.37	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,383.60 / $1,885.98 / $2,175.61	Facility		$1,383.60	$1,885.98	$2,175.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.40 / $1,664.40 / $1,918.09	Facility		$1,664.40	$1,664.40	$1,918.09
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,013.84 / $1,013.84 / $1,013.84	Facility	62	$1,013.84	$1,013.84	$1,013.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $162.21 / $162.21 / $162.21	Facility	AS	$162.21	$162.21	$162.21
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