Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,905.46 / $7,585.78	Facility		$208.93	$1,905.46	$7,585.78
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $154.88 / $478.63 / $2,511.89	Facility	52	$154.88	$478.63	$2,511.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $2,137.96 / $3,019.95 / $3,019.95	Facility	53	$2,137.96	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $676.08	Professional		$79.43	$239.88	$676.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.71 / $147.91 / $363.08	Professional	52	$45.71	$147.91	$363.08
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $21.38 / $70.79 / $275.42	Professional	53	$21.38	$70.79	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $11,748.98	Facility		$1,412.54	$4,365.16	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $457.09	Professional		$97.72	$213.80	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $575.44 / $1,819.70	Facility		$134.90	$575.44	$1,819.70
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	22	$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	52	$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	53	$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $234.42 / $549.54	Professional		$104.71	$234.42	$549.54
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $134.90 / $144.54 / $549.54	Professional	53	$134.90	$144.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,949.84 / $4,677.35	Facility		$562.34	$1,949.84	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $389.05	Professional		$85.11	$194.98	$389.05