Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.35 / $5,116.62 / $14,482.00	Facility		$1,037.35	$5,116.62	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $434.03 / $460.53 / $613.91	Facility	52	$434.03	$460.53	$613.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $173.61 / $184.21 / $245.57	Facility	53	$173.61	$184.21	$245.57
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $5,470.00 / $5,470.00 / $5,470.00	Facility	62	$5,470.00	$5,470.00	$5,470.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $9,992.00 / $17,206.00	Facility		$4,755.00	$9,992.00	$17,206.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.46 / $1,100.46 / $4,743.32	Facility		$1,100.46	$1,100.46	$4,743.32
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $681.22 / $681.22 / $681.22	Facility	52	$681.22	$681.22	$681.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	53	$170.30	$170.30	$170.30
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $532.20 / $532.20 / $532.20	Facility	62	$532.20	$532.20	$532.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $7,228.00 / $12,494.00	Facility		$3,206.00	$7,228.00	$12,494.00