Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.34 / $860.00 / $5,320.00	Facility		$489.34	$860.00	$5,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $244.67 / $296.85 / $345.24	Facility	52	$244.67	$296.85	$345.24
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $367.01 / $445.27 / $517.85	Facility	54	$367.01	$445.27	$517.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $526.21 / $755.61 / $871.64	Facility		$526.21	$755.61	$871.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.73 / $664.73 / $679.89	Facility		$664.73	$664.73	$679.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $530.59 / $530.59 / $530.59	Facility	52	$530.59	$530.59	$530.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $464.27 / $464.27 / $464.27	Facility	54	$464.27	$464.27	$464.27
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00