Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,551.94 / $8,653.85	Facility		$860.00	$1,551.94	$8,653.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.43 / $1,727.25 / $1,992.51	Facility		$1,258.43	$1,727.25	$1,992.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.75 / $1,515.20 / $1,515.20	Facility		$1,306.75	$1,515.20	$1,515.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $147.66 / $147.66 / $147.66	Facility	AS	$147.66	$147.66	$147.66
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00