Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.41 / $1,366.86 / $8,229.00	Facility		$191.41	$1,366.86	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.71 / $100.82 / $141.27	Facility	52	$95.71	$100.82	$141.27
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.28 / $40.33 / $56.51	Facility	53	$38.28	$40.33	$56.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,542.00 / $4,650.00	Facility		$1,421.00	$2,542.00	$4,650.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.97 / $256.63 / $296.04	Facility		$186.97	$256.63	$296.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.67 / $225.67 / $225.67	Facility		$225.67	$225.67	$225.67
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 $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00