Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.79 / $4,846.00 / $37,529.76	Facility		$827.79	$4,846.00	$37,529.76
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $413.90 / $437.15 / $568.69	Facility	52	$413.90	$437.15	$568.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $165.56 / $174.86 / $227.47	Facility	53	$165.56	$174.86	$227.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.46 / $874.90 / $1,009.50	Facility		$686.46	$874.90	$1,009.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00