Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.26 / $1,719.93 / $4,862.00	Facility		$309.26	$1,719.93	$4,862.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,635.88 / $2,256.65 / $3,031.14	Facility	50	$1,635.88	$2,256.65	$3,031.14
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.60 / $122.15 / $260.61	Facility	52	$58.60	$122.15	$260.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.44 / $37.10 / $102.90	Facility	53	$23.44	$37.10	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $269.43 / $664.86	Professional		$99.16	$269.43	$664.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $2,479.00 / $4,441.52	Facility		$1,223.09	$2,479.00	$4,441.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $306.29 / $777.07	Professional		$130.94	$306.29	$777.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $422.82 / $543.34	Facility		$419.81	$422.82	$543.34
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.69 / $147.69 / $147.69	Facility	52	$147.69	$147.69	$147.69
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.93 / $36.93 / $36.93	Facility	53	$36.93	$36.93	$36.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $300.23 / $866.37	Professional		$133.91	$300.23	$866.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,925.00 / $4,132.00	Facility		$1,020.00	$1,925.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $555.54 / $979.20	Professional		$309.81	$555.54	$979.20