Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.50 / $1,674.55 / $8,229.00	Facility		$1,590.50	$1,674.55	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $795.25 / $834.15 / $1,015.72	Facility	52	$795.25	$834.15	$1,015.72
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 $1,552.76 / $2,131.25 / $2,458.54	Facility		$1,552.76	$2,131.25	$2,458.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,874.42 / $1,874.42 / $1,874.42	Facility		$1,874.42	$1,874.42	$1,874.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
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