Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $927.00 / $7,212.00	Facility		$39.59	$927.00	$7,212.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.80 / $19.80 / $30.52	Facility	52	$19.80	$19.80	$30.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7.92 / $7.92 / $12.21	Facility	53	$7.92	$7.92	$12.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,896.00 / $8,230.00	Facility		$540.00	$3,896.00	$8,230.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $46.96 / $54.18	Facility		$36.11	$46.96	$54.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $283.74 / $761.00	Facility		$45.46	$283.74	$761.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,252.00 / $4,426.00	Facility		$119.00	$2,252.00	$4,426.00