Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.12 / $5,009.00 / $9,842.00	Facility		$356.12	$5,009.00	$9,842.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $159.86 / $178.06 / $211.33	Facility	52	$159.86	$178.06	$211.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $63.94 / $71.22 / $84.53	Facility	53	$63.94	$71.22	$84.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.14 / $2,866.57 / $5,466.84	Facility		$2,627.14	$2,866.57	$5,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00