Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.39 / $1,147.79 / $8,229.00	Facility		$1,055.39	$1,147.79	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,043.70 / $1,432.54 / $1,652.53	Facility		$1,043.70	$1,432.54	$1,652.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.46 / $1,246.46 / $1,246.46	Facility		$1,246.46	$1,246.46	$1,246.46
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00