Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,754.23 / $7,244.36	Facility		$537.03	$2,754.23	$7,244.36
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,238.72 / $3,090.30 / $13,489.63	Facility	22	$2,238.72	$3,090.30	$13,489.63
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $575.44 / $1,584.89 / $3,467.37	Facility	52	$575.44	$1,584.89	$3,467.37
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $794.33 / $2,187.76 / $3,890.45	Facility	53	$794.33	$2,187.76	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,148.15	Professional		$194.98	$436.52	$1,148.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $177.83 / $338.84 / $1,258.93	Professional	52	$177.83	$338.84	$1,258.93
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $79.43 / $162.18 / $524.81	Professional	53	$79.43	$162.18	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,890.45 / $9,549.93	Facility		$1,479.11	$3,890.45	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $691.83	Professional		$218.78	$380.19	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $831.76 / $3,235.94	Facility		$338.84	$831.76	$3,235.94
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $933.25	Professional		$234.42	$457.09	$933.25
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $263.03 / $295.12 / $562.34	Professional	53	$263.03	$295.12	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,511.89 / $5,888.44	Facility		$645.65	$2,511.89	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $398.11 / $758.58	Professional		$194.98	$398.11	$758.58