Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.51 / $4,079.00 / $14,336.63	Facility		$897.51	$4,079.00	$14,336.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $189.07 / $448.76 / $1,127.70	Facility	52	$189.07	$448.76	$1,127.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $75.63 / $179.50 / $179.50	Facility	53	$75.63	$179.50	$179.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.84 / $3,017.91 / $8,410.09	Facility		$641.84	$3,017.91	$8,410.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $585.00 / $2,472.77	Facility		$375.00	$585.00	$2,472.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.33 / $283.33 / $283.33	Facility	52	$283.33	$283.33	$283.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.84 / $70.84 / $70.84	Facility	53	$70.84	$70.84	$70.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $335.17 / $453.76 / $720.63	Facility		$335.17	$453.76	$720.63
United Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $10,069.00 / $16,249.00	Facility		$710.00	$10,069.00	$16,249.00