Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.87 / $1,964.87 / $4,846.00	Facility		$1,779.87	$1,964.87	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $889.94 / $889.94 / $1,383.60	Facility	52	$889.94	$889.94	$1,383.60
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 $1,637.39 / $2,128.61 / $2,456.09	Facility		$1,637.39	$2,128.61	$2,456.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $2,094.52	Facility		$761.00	$761.00	$2,094.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,076.00 / $10,926.00	Facility		$1,403.00	$5,076.00	$10,926.00