Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.70 / $1,782.58 / $8,229.00	Facility		$1,587.70	$1,782.58	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $793.85 / $837.14 / $1,013.93	Facility	52	$793.85	$837.14	$1,013.93
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 $1,552.51 / $2,130.90 / $2,458.14	Facility		$1,552.51	$2,130.90	$2,458.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,873.50 / $1,873.50 / $1,873.50	Facility		$1,873.50	$1,873.50	$1,873.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
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