Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.90 / $2,426.85 / $5,692.28	Facility		$513.90	$2,426.85	$5,692.28
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,293.41 / $1,293.41 / $1,293.41	Facility	22	$1,293.41	$1,293.41	$1,293.41
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.77 / $167.53 / $311.12	Facility	52	$73.77	$167.53	$311.12
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.43 / $49.78 / $107.85	Facility	53	$29.43	$49.78	$107.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $283.01 / $738.66	Professional		$115.45	$283.01	$738.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,550.00 / $4,471.00	Facility		$1,359.00	$2,550.00	$4,471.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $357.18 / $715.53	Professional		$165.93	$357.18	$715.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.12 / $641.00 / $1,400.69	Facility		$454.12	$641.00	$1,400.69
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $356.11 / $716.81	Professional		$168.85	$356.11	$716.81
United Facility/Professional Facility Modifier Low / Median / High Price $815.50 / $2,309.50 / $5,253.50	Facility		$815.50	$2,309.50	$5,253.50
United Facility/Professional Professional Modifier Low / Median / High Price $318.41 / $440.64 / $795.70	Professional		$318.41	$440.64	$795.70