Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,073.80 / $10,000.00	Facility		$562.34	$4,073.80	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.33 / $4,466.84 / $10,232.93	Facility	50	$794.33	$4,466.84	$10,232.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,570.40 / $2,951.21 / $8,511.38	Facility	52	$2,570.40	$2,951.21	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $1,288.25	Professional		$281.84	$389.05	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,456.54 / $12,302.69	Facility		$2,570.40	$6,456.54	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $758.58	Professional		$281.84	$416.87	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,659.59 / $12,302.69	Facility		$512.86	$1,659.59	$12,302.69
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	22	$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	52	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	53	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $977.24	Professional		$295.12	$467.74	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $10,232.93	Facility		$1,584.89	$4,365.16	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $707.95	Professional		$269.15	$389.05	$707.95