Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,821.00 / $4,392.00 / $10,296.00	Facility		$1,821.00	$4,392.00	$10,296.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,079.57 / $3,079.57 / $37,499.62	Facility		$3,079.57	$3,079.57	$37,499.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,478.02 / $2,478.02 / $7,227.90	Facility		$2,478.02	$2,478.02	$7,227.90
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,508.29 / $1,508.29 / $1,508.29	Facility	62	$1,508.29	$1,508.29	$1,508.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $241.33 / $241.33 / $241.33	Facility	AS	$241.33	$241.33	$241.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,500.00 / $5,545.73	Facility		$319.00	$2,500.00	$5,545.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,478.02 / $7,227.90	Facility		$555.00	$2,478.02	$7,227.90
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $1,508.29 / $1,508.29 / $1,508.29	Facility	62	$1,508.29	$1,508.29	$1,508.29
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $241.33 / $241.33 / $241.33	Facility	AS	$241.33	$241.33	$241.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,804.97 / $2,804.97 / $7,594.17	Facility		$2,804.97	$2,804.97	$7,594.17