Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.82 / $1,421.58 / $4,846.00	Facility		$347.82	$1,421.58	$4,846.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,391.25 / $1,391.25 / $1,391.25	Facility	22	$1,391.25	$1,391.25	$1,391.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $107.07 / $201.07 / $318.61	Facility	52	$107.07	$201.07	$318.61
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.83 / $73.47 / $126.41	Facility	53	$42.83	$73.47	$126.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.09 / $404.66 / $719.43	Professional		$201.09	$404.66	$719.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,701.59	Facility		$1,905.00	$3,193.00	$5,701.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.90 / $361.41 / $564.14	Professional		$214.90	$361.41	$564.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.49 / $761.81 / $1,499.24	Facility		$470.49	$761.81	$1,499.24
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.77 / $443.60 / $873.79	Professional		$237.77	$443.60	$873.79
United Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $2,416.00 / $4,925.50	Facility		$736.00	$2,416.00	$4,925.50
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $570.17 / $951.47	Professional		$391.07	$570.17	$951.47