Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $8,128.31	Facility		$1,621.81	$2,454.71	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $25,118.86 / $31,622.78	Facility		$10,471.29	$25,118.86	$31,622.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,698.24	Facility		$1,445.44	$1,513.56	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,162.28	Facility		$1,513.56	$2,290.87	$3,162.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	22	$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	52	$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $9,549.93 / $16,218.10	Facility		$2,290.87	$9,549.93	$16,218.10