Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.33 / $2,900.75 / $7,063.50	Facility		$416.33	$2,900.75	$7,063.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,487.12 / $4,487.12 / $6,092.03	Facility	50	$4,487.12	$4,487.12	$6,092.03
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.79 / $189.90 / $589.42	Facility	52	$106.79	$189.90	$589.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.22 / $66.52 / $226.91	Facility	53	$42.22	$66.52	$226.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $684.78 / $1,337.67	Professional		$213.58	$684.78	$1,337.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,931.00 / $8,240.00	Facility		$1,905.00	$3,931.00	$8,240.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $723.18 / $1,611.53	Professional		$245.42	$723.18	$1,611.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,286.40	Facility		$1,212.51	$1,212.51	$1,286.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.07 / $275.07 / $275.07	Facility	52	$275.07	$275.07	$275.07
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.77 / $68.77 / $68.77	Facility	53	$68.77	$68.77	$68.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $645.12 / $1,696.62	Professional		$249.52	$645.12	$1,696.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,951.00 / $7,934.00	Facility		$1,981.00	$3,951.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.88 / $1,197.98 / $2,011.81	Professional		$872.88	$1,197.98	$2,011.81