Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.96 / $1,161.33 / $10,647.00	Facility		$753.96	$1,161.33	$10,647.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $376.98 / $389.47 / $580.66	Facility	52	$376.98	$389.47	$580.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $150.79 / $155.79 / $232.27	Facility	53	$150.79	$155.79	$232.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $722.29 / $991.38 / $1,143.63	Facility		$722.29	$991.38	$1,143.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.50 / $873.50 / $873.50	Facility		$873.50	$873.50	$873.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $681.22 / $681.22 / $681.22	Facility	52	$681.22	$681.22	$681.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	53	$170.30	$170.30	$170.30
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $532.20 / $532.20 / $532.20	Facility	62	$532.20	$532.20	$532.20
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00