Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.85 / $4,043.00 / $10,296.00	Facility		$1,646.85	$4,043.00	$10,296.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,049.42 / $2,049.42 / $37,499.62	Facility		$2,049.42	$2,049.42	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.40 / $1,664.40 / $7,227.90	Facility		$1,664.40	$1,664.40	$7,227.90
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
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,199.00 / $8,927.94	Facility		$332.00	$2,199.00	$8,927.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,664.40 / $74,999.25	Facility		$555.00	$1,664.40	$74,999.25
MVP Health Care 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
MVP Health Care 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 $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 $1,825.52 / $1,825.52 / $5,147.76	Facility		$1,825.52	$1,825.52	$5,147.76