Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,528.00 / $9,952.46	Facility		$896.00	$2,528.00	$9,952.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $672.84 / $816.41 / $988.26	Facility	52	$672.84	$816.41	$988.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $29,031.00 / $34,268.00	Facility		$4,755.00	$29,031.00	$34,268.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,437.78 / $2,078.13 / $2,397.27	Facility		$1,437.78	$2,078.13	$2,397.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.59 / $1,821.59 / $1,821.59	Facility		$1,821.59	$1,821.59	$1,821.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,440.27 / $1,440.27 / $1,440.27	Facility	52	$1,440.27	$1,440.27	$1,440.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.03 / $180.03 / $180.03	Facility	AS	$180.03	$180.03	$180.03
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $35,462.00	Facility		$842.00	$4,539.00	$35,462.00