Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $1,603.84 / $7,702.00	Facility		$991.00	$1,603.84	$7,702.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $635.76 / $773.45 / $935.73	Facility	52	$635.76	$773.45	$935.73
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 $1,359.38 / $1,968.76 / $2,271.11	Facility		$1,359.38	$1,968.76	$2,271.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,723.69 / $1,723.69 / $1,842.79	Facility		$1,723.69	$1,723.69	$1,842.79
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
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