Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $510.30 / $5,190.64	Facility		$48.29	$510.30	$5,190.64
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $19.79 / $30.70 / $32.69	Facility	52	$19.79	$30.70	$32.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7.91 / $8.58 / $13.08	Facility	53	$7.91	$8.58	$13.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $81.03 / $137.51	Facility		$73.67	$81.03	$137.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $251.62 / $505.65	Facility		$45.46	$251.62	$505.65
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.19 / $35.19 / $35.19	Facility	52	$35.19	$35.19	$35.19
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.80 / $8.80 / $8.80	Facility	53	$8.80	$8.80	$8.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $54.78 / $80.98	Facility		$39.57	$54.78	$80.98
United Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $361.00 / $1,219.00	Facility		$54.00	$361.00	$1,219.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $115.34 / $1,300.00	Facility		$55.00	$115.34	$1,300.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $73.86 / $910.60 / $910.60	Facility	52	$73.86	$910.60	$910.60
Wellcare Facility/Professional Facility Modifier 53 Low / Median / High Price $18.47 / $227.65 / $227.65	Facility	53	$18.47	$227.65	$227.65