Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.84 / $4,846.00 / $11,093.00	Facility		$881.84	$4,846.00	$11,093.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,683.00 / $11,097.00 / $30,091.00	Facility		$1,683.00	$11,097.00	$30,091.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.18 / $1,059.73 / $1,222.77	Facility		$815.18	$1,059.73	$1,222.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,047.98	Facility		$761.00	$761.00	$1,047.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.97 / $102.97 / $102.97	Facility	AS	$102.97	$102.97	$102.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $11,200.00 / $17,416.00	Facility		$3,300.00	$11,200.00	$17,416.00