Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,680.93 / $8,229.00	Facility		$860.00	$1,680.93	$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 $1,241.01 / $1,692.53 / $1,952.46	Facility		$1,241.01	$1,692.53	$1,952.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.29 / $1,491.29 / $2,005.86	Facility		$1,491.29	$1,491.29	$2,005.86
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.38 / $144.38 / $144.38	Facility	AS	$144.38	$144.38	$144.38
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