Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.07 / $1,343.73 / $13,304.00	Facility		$1,052.07	$1,343.73	$13,304.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,031.83 / $1,416.25 / $1,633.75	Facility		$1,031.83	$1,416.25	$1,633.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.03 / $1,243.03 / $1,243.03	Facility		$1,243.03	$1,243.03	$1,243.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00