Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.78 / $1,807.58 / $12,402.68	Facility		$249.78	$1,807.58	$12,402.68
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $122.66 / $129.88 / $159.53	Facility	52	$122.66	$129.88	$159.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,508.00 / $9,461.00	Facility		$2,174.00	$4,508.00	$9,461.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.88 / $330.61 / $381.39	Facility		$240.88	$330.61	$381.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $290.89 / $290.89	Facility		$290.89	$290.89	$290.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00