Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,818.38 / $19,498.45	Facility		$645.65	$2,818.38	$19,498.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $28,183.83 / $38,018.94	Facility		$21,379.62	$28,183.83	$38,018.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,148.15	Facility		$575.44	$831.76	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	22	$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	53	$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,413.10 / $33,113.11	Facility		$1,288.25	$7,413.10	$33,113.11