Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.40 / $3,611.21 / $5,756.02	Facility		$1,475.40	$3,611.21	$5,756.02
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $737.70 / $737.70 / $1,148.08	Facility	52	$737.70	$737.70	$1,148.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,531.00 / $18,682.34 / $27,646.96	Facility		$5,531.00	$18,682.34	$27,646.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,358.67 / $1,766.27 / $2,038.01	Facility		$1,358.67	$1,766.27	$2,038.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,742.51	Facility		$761.00	$761.00	$1,742.51
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,529.00 / $9,550.00 / $15,750.00	Facility		$2,529.00	$9,550.00	$15,750.00