Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $4,897.79	Facility		$1,412.54	$2,344.23	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,479.11	Facility		$1,258.93	$1,318.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $2,754.23	Facility		$1,318.26	$2,137.96	$2,754.23
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	22	$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	52	$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	AS	$229.09	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,623.41 / $12,022.64	Facility		$1,023.29	$5,623.41	$12,022.64