Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.94 / $8,904.00 / $18,917.00	Facility		$904.94	$8,904.00	$18,917.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $287.10 / $287.10 / $452.47	Facility	52	$287.10	$287.10	$452.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $114.84 / $114.84 / $180.99	Facility	53	$114.84	$114.84	$180.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,750.00 / $42,703.00 / $49,730.00	Facility		$15,750.00	$42,703.00	$49,730.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,571.00 / $11,555.57 / $18,669.00	Facility		$9,571.00	$11,555.57	$18,669.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $11,271.00 / $50,472.00	Facility		$5,682.00	$11,271.00	$50,472.00