Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.33 / $1,386.00 / $4,846.00	Facility		$1,169.33	$1,386.00	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $584.66 / $584.66 / $911.93	Facility	52	$584.66	$584.66	$911.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $233.87 / $233.87 / $364.77	Facility	53	$233.87	$233.87	$364.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,079.21 / $1,402.97 / $1,618.82	Facility		$1,079.21	$1,402.97	$1,618.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,391.39	Facility		$761.00	$761.00	$1,391.39
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00