Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.62 / $4,839.50 / $9,720.77	Facility		$1,019.62	$4,839.50	$9,720.77
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $144.94 / $147.97 / $172.32	Facility	53	$144.94	$147.97	$172.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $543.53 / $554.90 / $646.20	Facility	54	$543.53	$554.90	$646.20
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $108.71 / $110.98 / $129.24	Facility	55	$108.71	$110.98	$129.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.94 / $724.70 / $1,149.95	Professional		$584.94	$724.70	$1,149.95
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.58 / $113.19 / $142.82	Professional	55	$95.58	$113.19	$142.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.04 / $783.13 / $1,289.51	Professional		$599.04	$783.13	$1,289.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.80 / $875.00 / $4,094.76	Facility		$756.80	$875.00	$4,094.76
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $151.22 / $151.22 / $151.22	Facility	53	$151.22	$151.22	$151.22
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $529.26 / $529.26 / $529.26	Facility	54	$529.26	$529.26	$529.26
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	55	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.89 / $899.38 / $1,456.87	Professional		$625.89	$899.38	$1,456.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,595.00 / $6,115.00 / $11,876.99	Facility		$2,595.00	$6,115.00	$11,876.99
United Facility/Professional Professional Modifier Low / Median / High Price $641.49 / $837.32 / $1,437.57	Professional		$641.49	$837.32	$1,437.57