Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.17 / $4,846.00 / $17,225.00	Facility		$468.17	$4,846.00	$17,225.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $234.09 / $234.09 / $414.33	Facility	52	$234.09	$234.09	$414.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $93.63 / $93.63 / $165.73	Facility	53	$93.63	$93.63	$165.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,451.00 / $21,000.00 / $43,370.00	Facility		$2,451.00	$21,000.00	$43,370.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.55 / $592.07 / $683.16	Facility		$464.55	$592.07	$683.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,862.31 / $4,862.31 / $4,862.31	Facility		$4,862.31	$4,862.31	$4,862.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,393.00 / $21,391.00	Facility		$5,897.00	$12,393.00	$21,391.00