Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.59 / $1,117.82 / $4,846.00	Facility		$1,011.59	$1,117.82	$4,846.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $931.52 / $1,210.98 / $1,397.28	Facility		$931.52	$1,210.98	$1,397.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,199.82	Facility		$761.00	$761.00	$1,199.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00