Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.63 / $1,789.47 / $8,229.00	Facility		$1,539.63	$1,789.47	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $769.82 / $848.99 / $1,084.34	Facility	52	$769.82	$848.99	$1,084.34
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 $1,659.32 / $2,277.51 / $2,627.26	Facility		$1,659.32	$2,277.51	$2,627.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,001.71 / $2,001.71 / $2,001.71	Facility		$2,001.71	$2,001.71	$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 $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00