Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $2,736.07 / $6,907.00	Facility		$398.00	$2,736.07	$6,907.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.55 / $119.55 / $166.88	Facility	52	$104.55	$119.55	$166.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.77 / $47.82 / $65.66	Facility	53	$41.77	$47.82	$65.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,693.00 / $5,962.00	Facility		$1,905.00	$3,693.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $861.35 / $1,675.01	Facility		$455.00	$861.35	$1,675.01
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
United Facility/Professional Facility Modifier Low / Median / High Price $815.50 / $2,325.00 / $5,230.50	Facility		$815.50	$2,325.00	$5,230.50