Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.61 / $1,915.24 / $4,846.00	Facility		$1,736.61	$1,915.24	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $868.31 / $868.31 / $1,348.65	Facility	52	$868.31	$868.31	$1,348.65
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 $1,596.03 / $2,074.84 / $2,394.05	Facility		$1,596.03	$2,074.84	$2,394.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,054.82	Facility		$761.00	$761.00	$2,054.82
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
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