Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.60 / $3,045.00 / $6,874.50	Facility		$585.60	$3,045.00	$6,874.50
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $930.08 / $1,646.91 / $1,762.08	Facility	22	$930.08	$1,646.91	$1,762.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $174.81 / $206.20 / $280.71	Facility	52	$174.81	$206.20	$280.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.92 / $82.48 / $111.13	Facility	53	$69.92	$82.48	$111.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.05 / $472.50 / $712.51	Professional		$324.05	$472.50	$712.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $3,193.00 / $5,962.00	Facility		$1,421.00	$3,193.00	$5,962.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.56 / $429.97 / $662.88	Professional		$298.56	$429.97	$662.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.76 / $1,119.19 / $2,575.42	Facility		$514.76	$1,119.19	$2,575.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $501.16 / $888.95	Professional		$316.79	$501.16	$888.95
United Facility/Professional Facility Modifier Low / Median / High Price $815.50 / $2,322.00 / $5,253.50	Facility		$815.50	$2,322.00	$5,253.50
United Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $448.88 / $757.60	Professional		$314.64	$448.88	$757.60