Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $4,897.79	Facility		$1,949.84	$2,754.23	$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 $1,737.80 / $1,819.70 / $2,041.74	Facility		$1,737.80	$1,819.70	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,162.28 / $3,162.28	Facility		$758.58	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	22	$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	52	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	AS	$316.23	$316.23	$316.23
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