Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,897.79 / $16,218.10	Facility		$1,202.26	$4,897.79	$16,218.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $14,125.38 / $19,054.61	Facility		$6,456.54	$14,125.38	$19,054.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,258.93	Facility		$1,071.52	$1,096.48	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,137.96	Facility		$1,122.02	$1,621.81	$2,137.96
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,623.41 / $12,022.64	Facility		$1,023.29	$5,623.41	$12,022.64