Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,623.41 / $10,964.78	Facility		$794.33	$5,623.41	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $1,148.15	Facility		$676.08	$954.99	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,288.25 / $1,288.25	Facility		$34.67	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	52	$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	53	$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	62	$812.83	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00