Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,102.71 / $14,173.82 / $28,093.44	Facility		$3,102.71	$14,173.82	$28,093.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $345.32 / $345.32 / $539.57	Facility	52	$345.32	$345.32	$539.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $12,775.00 / $31,716.00	Facility		$1,935.00	$12,775.00	$31,716.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.54 / $830.10 / $968.17	Facility		$638.54	$830.10	$968.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $818.95 / $3,833.32	Facility		$761.00	$818.95	$3,833.32
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $11,200.00 / $17,416.00	Facility		$3,300.00	$11,200.00	$17,416.00