Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.28 / $587.45 / $5,634.00	Facility		$391.28	$587.45	$5,634.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $195.64 / $195.64 / $325.89	Facility	52	$195.64	$195.64	$325.89
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $293.45 / $293.45 / $488.85	Facility	54	$293.45	$293.45	$488.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.39 / $539.95 / $809.93	Facility		$393.39	$539.95	$809.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00