Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.59 / $752.53 / $3,740.00	Facility		$349.59	$752.53	$3,740.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $174.80 / $215.16 / $252.77	Facility	52	$174.80	$215.16	$252.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $262.19 / $322.74 / $379.15	Facility	54	$262.19	$322.74	$379.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.16 / $547.67 / $631.79	Facility		$382.16	$547.67	$631.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.95 / $483.95 / $497.79	Facility		$483.95	$483.95	$497.79
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00