Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,630.78 / $8,912.51	Facility		$588.84	$3,630.78	$8,912.51
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $891.25 / $954.99 / $10,715.19	Facility	22	$891.25	$954.99	$10,715.19
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $467.74 / $2,041.74 / $10,232.93	Facility	52	$467.74	$2,041.74	$10,232.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	53	$5,495.41	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,000.00	Professional		$316.23	$457.09	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $10,000.00	Facility		$1,513.56	$4,168.69	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $870.96	Professional		$275.42	$398.11	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $2,754.23	Facility		$467.74	$933.25	$2,754.23
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	22	$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	52	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	53	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $1,047.13	Professional		$295.12	$478.63	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,630.27 / $6,606.93	Facility		$660.69	$2,630.27	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $707.95	Professional		$281.84	$407.38	$707.95