Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.73 / $2,747.00 / $14,657.00	Facility		$630.73	$2,747.00	$14,657.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $302.75 / $337.59 / $16,764.97	Facility	52	$302.75	$337.59	$16,764.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $5,944.00 / $14,034.00	Facility		$3,565.00	$5,944.00	$14,034.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.79 / $859.32 / $1,012.77	Facility		$613.79	$859.32	$1,012.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.78 / $753.78 / $923.33	Facility		$753.78	$753.78	$923.33
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $589.65 / $589.65 / $589.65	Facility	52	$589.65	$589.65	$589.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.70 / $73.70 / $73.70	Facility	AS	$73.70	$73.70	$73.70
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00