Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.15 / $1,163.95 / $5,320.00	Facility		$635.15	$1,163.95	$5,320.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.53 / $1,037.27 / $1,196.56	Facility		$715.53	$1,037.27	$1,196.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.85 / $910.85 / $1,007.52	Facility		$910.85	$910.85	$1,007.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $90.56	Facility	AS	$90.56	$90.56	$90.56
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,700.00 / $6,295.00	Facility		$599.00	$1,700.00	$6,295.00