Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.59 / $877.11 / $8,229.00	Facility		$713.59	$877.11	$8,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.16 / $1,167.58 / $1,346.89	Facility		$864.16	$1,167.58	$1,346.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,024.82 / $1,024.82 / $1,084.02	Facility		$1,024.82	$1,024.82	$1,084.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.85 / $101.85 / $101.85	Facility	AS	$101.85	$101.85	$101.85
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