Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.02 / $2,395.63 / $5,000.03	Facility		$489.02	$2,395.63	$5,000.03
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,509.21 / $2,509.21 / $2,509.21	Facility	22	$2,509.21	$2,509.21	$2,509.21
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $104.52 / $193.60 / $911.63	Facility	52	$104.52	$193.60	$911.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.88 / $156.04 / $324.49	Facility	53	$73.88	$156.04	$324.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.66 / $347.01 / $813.87	Professional		$184.66	$347.01	$813.87
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.98 / $98.78 / $230.46	Professional	53	$41.98	$98.78	$230.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,390.00 / $4,260.00	Facility		$1,314.00	$2,390.00	$4,260.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $308.68 / $493.11	Professional		$197.99	$308.68	$493.11
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $86.80 / $165.34 / $226.25	Professional	53	$86.80	$165.34	$226.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $650.00 / $1,345.00	Facility		$455.00	$650.00	$1,345.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $248.66 / $248.66 / $248.66	Facility	52	$248.66	$248.66	$248.66
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.17 / $62.17 / $62.17	Facility	53	$62.17	$62.17	$62.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $375.52 / $709.75	Professional		$220.53	$375.52	$709.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $116.81 / $187.26 / $320.00	Professional	53	$116.81	$187.26	$320.00
United Facility/Professional Facility Modifier Low / Median / High Price $811.50 / $2,302.00 / $5,230.50	Facility		$811.50	$2,302.00	$5,230.50
United Facility/Professional Professional Modifier Low / Median / High Price $303.13 / $444.15 / $743.60	Professional		$303.13	$444.15	$743.60
United Facility/Professional Professional Modifier 53 Low / Median / High Price $133.22 / $217.30 / $267.31	Professional	53	$133.22	$217.30	$267.31