Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $10,471.29	Facility		$1,348.96	$2,818.38	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $15,135.61	Facility		$8,912.51	$10,715.19	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,089.30	Facility		$1,202.26	$1,479.11	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,344.23 / $2,344.23	Facility		$34.67	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	22	$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	AS	$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $10,000.00	Facility		$724.44	$2,511.89	$10,000.00