Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.87 / $4,915.43 / $9,080.76	Facility		$1,118.87	$4,915.43	$9,080.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,997.47 / $4,596.78 / $7,363.50	Facility	50	$2,997.47	$4,596.78	$7,363.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $121.06 / $136.31 / $184.39	Facility	53	$121.06	$136.31	$184.39
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $453.99 / $511.15 / $759.64	Facility	54	$453.99	$511.15	$759.64
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $90.80 / $104.05 / $138.28	Facility	55	$90.80	$104.05	$138.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.09 / $667.11 / $1,490.97	Professional		$512.09	$667.11	$1,490.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,329.68 / $4,329.68 / $4,329.68	Professional	50	$4,329.68	$4,329.68	$4,329.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $269.57 / $329.31 / $474.64	Professional	52	$269.57	$329.31	$474.64
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $390.56 / $498.59 / $823.14	Professional	54	$390.56	$498.59	$823.14
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $76.39 / $97.36 / $153.22	Professional	55	$76.39	$97.36	$153.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.00 / $4,133.00 / $8,800.00	Facility		$2,487.00	$4,133.00	$8,800.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.59 / $758.13 / $1,288.72	Professional		$555.59	$758.13	$1,288.72
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $801.38 / $1,041.83 / $1,717.48	Professional	50	$801.38	$1,041.83	$1,717.48
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $1,900.00 / $1,900.00 / $1,900.00	Professional	54	$1,900.00	$1,900.00	$1,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.68 / $1,347.00 / $1,821.47	Facility		$1,266.68	$1,347.00	$1,821.47
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $120.35 / $120.35 / $120.35	Facility	53	$120.35	$120.35	$120.35
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $421.21 / $421.21 / $421.21	Facility	54	$421.21	$421.21	$421.21
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $90.26 / $90.26 / $90.26	Facility	55	$90.26	$90.26	$90.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.72 / $824.00 / $1,436.17	Professional		$531.72	$824.00	$1,436.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,176.00 / $7,254.00	Facility		$1,981.00	$4,176.00	$7,254.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $717.50 / $1,250.56	Professional		$521.14	$717.50	$1,250.56