Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.26 / $1,266.43 / $8,229.00	Facility		$1,195.26	$1,266.43	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $597.63 / $631.84 / $763.31	Facility	52	$597.63	$631.84	$763.31
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 $1,171.78 / $1,608.32 / $1,855.31	Facility		$1,171.78	$1,608.32	$1,855.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,411.74 / $1,411.74 / $1,411.74	Facility		$1,411.74	$1,411.74	$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 $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00