Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.21 / $1,386.00 / $4,846.00	Facility		$999.21	$1,386.00	$4,846.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $499.61 / $499.61 / $779.24	Facility	52	$499.61	$499.61	$779.24
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 $922.17 / $1,198.82 / $1,383.26	Facility		$922.17	$1,198.82	$1,383.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.00 / $761.00 / $1,187.10	Facility		$761.00	$761.00	$1,187.10
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
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