Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,543.59 / $7,702.00	Facility		$991.00	$1,543.59	$7,702.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $611.88 / $744.45 / $901.87	Facility	52	$611.88	$744.45	$901.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,271.00 / $29,127.00 / $55,575.98	Facility		$9,271.00	$29,127.00	$55,575.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,308.73 / $1,894.96 / $2,185.96	Facility		$1,308.73	$1,894.96	$2,185.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.29 / $1,659.29 / $1,776.11	Facility		$1,659.29	$1,659.29	$1,776.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $31,792.00	Facility		$1,168.00	$6,186.00	$31,792.00