Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.80 / $4,846.00 / $7,212.00	Facility		$313.80	$4,846.00	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $156.90 / $156.90 / $243.89	Facility	52	$156.90	$156.90	$243.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.76 / $62.76 / $97.56	Facility	53	$62.76	$62.76	$97.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $13,758.00	Facility		$2,234.00	$5,126.00	$13,758.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.63 / $375.22 / $432.95	Facility		$288.63	$375.22	$432.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $538.00 / $2,513.90	Facility		$362.56	$538.00	$2,513.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $5,995.00 / $9,243.00	Facility		$1,500.00	$5,995.00	$9,243.00