Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $3,447.00 / $19,959.21	Facility		$896.00	$3,447.00	$19,959.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $568.57 / $608.85 / $985.83	Facility	52	$568.57	$608.85	$985.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,106.99 / $1,549.79 / $1,826.53	Facility		$1,106.99	$1,549.79	$1,826.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,358.98 / $1,358.98 / $1,634.26	Facility		$1,358.98	$1,358.98	$1,634.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,059.70 / $1,059.70 / $1,059.70	Facility	52	$1,059.70	$1,059.70	$1,059.70
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $827.89 / $827.89 / $827.89	Facility	62	$827.89	$827.89	$827.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.46 / $132.46 / $132.46	Facility	AS	$132.46	$132.46	$132.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00