Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.84 / $1,424.12 / $4,846.00	Facility		$1,285.84	$1,424.12	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $642.92 / $642.92 / $1,002.82	Facility	52	$642.92	$642.92	$1,002.82
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 $1,186.77 / $1,542.80 / $1,780.16	Facility		$1,186.77	$1,542.80	$1,780.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,526.26	Facility		$761.00	$761.00	$1,526.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
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