Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.34 / $1,194.00 / $12,057.00	Facility		$522.34	$1,194.00	$12,057.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $256.20 / $264.64 / $305.58	Facility	52	$256.20	$264.64	$305.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $102.48 / $105.86 / $122.23	Facility	53	$102.48	$105.86	$122.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,584.00 / $25,962.00 / $33,917.00	Facility		$16,584.00	$25,962.00	$33,917.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $490.81 / $673.67 / $777.12	Facility		$490.81	$673.67	$777.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.85 / $592.85 / $592.85	Facility		$592.85	$592.85	$592.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $460.80 / $460.80 / $460.80	Facility	52	$460.80	$460.80	$460.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $115.20 / $115.20 / $115.20	Facility	53	$115.20	$115.20	$115.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,818.00 / $21,223.00	Facility		$1,300.00	$6,818.00	$21,223.00