Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.95 / $5,699.00 / $16,624.00	Facility		$2,010.95	$5,699.00	$16,624.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $18,532.97 / $18,532.97 / $18,532.97	Facility	22	$18,532.97	$18,532.97	$18,532.97
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 $2,653.66 / $2,653.66 / $16,534.50	Facility		$2,653.66	$2,653.66	$16,534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,150.11 / $2,150.11 / $12,209.00	Facility		$2,150.11	$2,150.11	$12,209.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,691.71 / $1,691.71 / $1,691.71	Facility	52	$1,691.71	$1,691.71	$1,691.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $211.46 / $211.46 / $211.46	Facility	AS	$211.46	$211.46	$211.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,618.00 / $4,915.42	Facility		$332.00	$2,618.00	$4,915.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,150.11 / $12,209.00	Facility		$597.00	$2,150.11	$12,209.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $1,691.71 / $1,691.71 / $1,691.71	Facility	52	$1,691.71	$1,691.71	$1,691.71
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $211.46 / $211.46 / $211.46	Facility	AS	$211.46	$211.46	$211.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,759.00 / $12,742.00	Facility		$2,337.00	$6,759.00	$12,742.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,155.50 / $2,155.50 / $5,414.84	Facility		$2,155.50	$2,155.50	$5,414.84