Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.79 / $787.00 / $8,229.00	Facility		$240.79	$787.00	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $120.40 / $126.40 / $178.06	Facility	52	$120.40	$126.40	$178.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.16 / $50.56 / $71.22	Facility	53	$48.16	$50.56	$71.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,942.00 / $4,423.00 / $10,099.00	Facility		$2,942.00	$4,423.00	$10,099.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.41 / $321.73 / $371.15	Facility		$234.41	$321.73	$371.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $283.45 / $283.45	Facility		$283.45	$283.45	$283.45
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00