Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.88 / $3,760.20 / $8,042.13	Facility		$633.88	$3,760.20	$8,042.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,662.50 / $4,536.00 / $4,843.30	Facility	50	$2,662.50	$4,536.00	$4,843.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $153.03 / $175.13 / $246.36	Facility	52	$153.03	$175.13	$246.36
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $61.03 / $69.20 / $94.49	Facility	53	$61.03	$69.20	$94.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $357.63 / $749.42	Professional		$301.58	$357.63	$749.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $4,120.00 / $8,800.00	Facility		$2,456.00	$4,120.00	$8,800.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $408.00 / $612.40	Professional		$296.83	$408.00	$612.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $2,106.17 / $2,575.46	Facility		$1,745.52	$2,106.17	$2,575.46
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $266.33 / $266.33 / $266.33	Facility	52	$266.33	$266.33	$266.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.59 / $66.59 / $66.59	Facility	53	$66.59	$66.59	$66.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.13 / $452.52 / $710.76	Professional		$308.13	$452.52	$710.76
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 $304.85 / $427.07 / $704.69	Professional		$304.85	$427.07	$704.69