Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.62 / $1,751.00 / $9,550.00	Facility		$585.62	$1,751.00	$9,550.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $292.81 / $292.81 / $518.28	Facility	52	$292.81	$292.81	$518.28
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $117.12 / $117.12 / $207.31	Facility	53	$117.12	$117.12	$207.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $29,226.00 / $47,221.00	Facility		$2,575.00	$29,226.00	$47,221.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $580.05 / $739.30 / $853.04	Facility		$580.05	$739.30	$853.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $13,813.00 / $28,128.00	Facility		$5,897.00	$13,813.00	$28,128.00