Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.55 / $1,243.00 / $13,304.00	Facility		$543.55	$1,243.00	$13,304.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,686.54 / $12,686.54 / $12,686.54	Facility	50	$12,686.54	$12,686.54	$12,686.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,307.00 / $6,325.00 / $17,470.00	Facility		$3,307.00	$6,325.00	$17,470.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $535.37 / $734.82 / $847.67	Facility		$535.37	$734.82	$847.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $643.98 / $643.98	Facility		$643.98	$643.98	$643.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,475.00 / $12,296.00	Facility		$847.00	$1,475.00	$12,296.00