Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $4,107.35 / $17,674.80	Facility		$860.00	$4,107.35	$17,674.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $10,933.00 / $20,604.00	Facility		$4,755.00	$10,933.00	$20,604.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $931.09 / $1,273.13 / $1,468.64	Facility		$931.09	$1,273.13	$1,468.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.63 / $1,121.99 / $1,121.99	Facility		$942.63	$1,121.99	$1,121.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.13 / $110.13 / $110.13	Facility	AS	$110.13	$110.13	$110.13
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00