Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.34 / $905.69 / $3,740.00	Facility		$684.34	$905.69	$3,740.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $781.55 / $1,152.69 / $1,329.72	Facility		$781.55	$1,152.69	$1,329.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $1,013.29 / $1,013.29	Facility		$1,013.29	$1,013.29	$1,013.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.85 / $100.85 / $100.85	Facility	AS	$100.85	$100.85	$100.85
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