Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.22 / $1,386.00 / $16,042.00	Facility		$625.22	$1,386.00	$16,042.00
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 $577.82 / $751.17 / $866.73	Facility		$577.82	$751.17	$866.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.06 / $742.06 / $761.00	Facility		$742.06	$742.06	$761.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.15 / $73.15 / $73.15	Facility	AS	$73.15	$73.15	$73.15
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