Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,924.00 / $9,311.00	Facility		$860.00	$1,924.00	$9,311.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,297.92 / $2,297.92 / $2,297.92	Facility	50	$2,297.92	$2,297.92	$2,297.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $666.01 / $697.29 / $737.38	Facility	52	$666.01	$697.29	$737.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $10,099.00 / $25,200.51	Facility		$7,990.00	$10,099.00	$25,200.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.72 / $1,876.95 / $2,165.19	Facility		$1,372.72	$1,876.95	$2,165.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.21 / $1,650.42 / $1,650.42	Facility		$1,330.21	$1,650.42	$1,650.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,300.40 / $1,300.40 / $1,300.40	Facility	52	$1,300.40	$1,300.40	$1,300.40
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,015.94 / $1,015.94 / $1,015.94	Facility	62	$1,015.94	$1,015.94	$1,015.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $162.55 / $162.55 / $162.55	Facility	AS	$162.55	$162.55	$162.55
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00