Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,398.83 / $7,079.46	Facility		$512.86	$2,398.83	$7,079.46
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,000.00 / $2,137.96 / $5,888.44	Facility	22	$1,000.00	$2,137.96	$5,888.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $602.56 / $1,778.28 / $4,365.16	Facility	52	$602.56	$1,778.28	$4,365.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $1,737.80 / $1,737.80 / $3,235.94	Facility	53	$1,737.80	$1,737.80	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $467.74 / $1,202.26	Professional		$245.47	$467.74	$1,202.26
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $104.71 / $151.36 / $257.04	Professional	53	$104.71	$151.36	$257.04
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 $275.42 / $436.52 / $831.76	Professional		$275.42	$436.52	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $977.24 / $3,388.44	Facility		$426.58	$977.24	$3,388.44
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	22	$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $512.86 / $1,023.29	Professional		$281.84	$512.86	$1,023.29
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $275.42 / $309.03 / $588.84	Professional	53	$275.42	$309.03	$588.84
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 $245.47 / $436.52 / $831.76	Professional		$245.47	$436.52	$831.76