Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.20 / $256.97 / $4,846.00	Facility		$229.20	$256.97	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.60 / $114.60 / $177.74	Facility	52	$114.60	$114.60	$177.74
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 $214.55 / $273.44 / $315.51	Facility		$214.55	$273.44	$315.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $273.83 / $761.00	Facility		$273.83	$273.83	$761.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
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