Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.83 / $1,245.86 / $8,229.00	Facility		$1,148.83	$1,245.86	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $574.41 / $588.65 / $751.85	Facility	52	$574.41	$588.65	$751.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $229.77 / $235.46 / $300.74	Facility	53	$229.77	$235.46	$300.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,155.26 / $1,585.65 / $1,829.17	Facility		$1,155.26	$1,585.65	$1,829.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.39 / $1,391.39 / $1,391.39	Facility		$1,391.39	$1,391.39	$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 $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00