Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,715.19 / $11,220.18	Facility		$6,606.93	$10,715.19	$11,220.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,691.53	Facility		$1,548.82	$1,905.46	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,090.30 / $3,090.30	Facility		$34.67	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	22	$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	52	$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	AS	$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52