Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,012.58 / $5,320.00	Facility		$787.00	$1,012.58	$5,320.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.67 / $1,132.17 / $1,293.90	Facility		$805.67	$1,132.17	$1,293.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $878.61 / $1,000.43 / $1,322.53	Facility		$878.61	$1,000.43	$1,322.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.92 / $99.92 / $99.92	Facility	AS	$99.92	$99.92	$99.92
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00