Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.47 / $1,319.40 / $4,846.00	Facility		$1,191.47	$1,319.40	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $595.74 / $595.74 / $929.08	Facility	52	$595.74	$595.74	$929.08
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 $1,121.49 / $1,429.35 / $1,649.25	Facility		$1,121.49	$1,429.35	$1,649.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,411.74	Facility		$761.00	$761.00	$1,411.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
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