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 / $8,229.00	Facility		$896.00	$2,528.00	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $726.73 / $881.61 / $1,068.04	Facility	52	$726.73	$881.61	$1,068.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,944.00 / $18,409.41 / $43,253.02	Facility		$5,944.00	$18,409.41	$43,253.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,551.67 / $2,244.09 / $2,588.71	Facility		$1,551.67	$2,244.09	$2,588.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,967.28 / $1,967.28 / $1,967.28	Facility		$1,967.28	$1,967.28	$1,967.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
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