Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.24 / $1,833.26 / $8,229.00	Facility		$1,457.24	$1,833.26	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $728.62 / $870.65 / $1,112.02	Facility	52	$728.62	$870.65	$1,112.02
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 $1,699.93 / $2,333.23 / $2,691.56	Facility		$1,699.93	$2,333.23	$2,691.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,054.82 / $2,054.82 / $2,054.82	Facility		$2,054.82	$2,054.82	$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 $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00