Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.46 / $1,158.51 / $8,229.00	Facility		$641.46	$1,158.51	$8,229.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $320.73 / $330.46 / $380.23	Facility	52	$320.73	$330.46	$380.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.29 / $132.18 / $152.09	Facility	53	$128.29	$132.18	$152.09
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 $616.27 / $841.18 / $970.35	Facility		$616.27	$841.18	$970.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.60 / $740.60 / $740.60	Facility		$740.60	$740.60	$740.60
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $575.63 / $575.63 / $575.63	Facility	52	$575.63	$575.63	$575.63
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $143.91 / $143.91 / $143.91	Facility	53	$143.91	$143.91	$143.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,818.00 / $33,259.00	Facility		$1,300.00	$6,818.00	$33,259.00