Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,905.46 / $7,585.78	Facility		$363.08	$1,905.46	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $5,495.41	Facility		$1,698.24	$2,884.03	$5,495.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $295.12	Facility		$169.82	$208.93	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,659.59	Facility		$338.84	$338.84	$1,659.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	62	$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	AS	$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07