Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.82 / $2,318.00 / $7,212.00	Facility		$193.82	$2,318.00	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.91 / $96.91 / $150.71	Facility	52	$96.91	$96.91	$150.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.76 / $38.76 / $60.29	Facility	53	$38.76	$38.76	$60.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,117.00 / $8,240.00	Facility		$2,234.00	$5,117.00	$8,240.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.36 / $231.87 / $267.54	Facility		$178.36	$231.87	$267.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $538.00 / $1,158.10	Facility		$225.67	$538.00	$1,158.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00