Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.54 / $1,866.48 / $4,846.00	Facility		$1,690.54	$1,866.48	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $845.27 / $845.27 / $1,314.32	Facility	52	$845.27	$845.27	$1,314.32
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 $1,555.40 / $2,022.02 / $2,333.10	Facility		$1,555.40	$2,022.02	$2,333.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,001.71	Facility		$761.00	$761.00	$2,001.71
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
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