Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.66 / $2,477.00 / $12,812.00	Facility		$737.66	$2,477.00	$12,812.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $368.83 / $368.83 / $626.60	Facility	52	$368.83	$368.83	$626.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $147.53 / $147.53 / $250.64	Facility	53	$147.53	$147.53	$250.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.14 / $588.08 / $737.66	Professional		$524.14	$588.08	$737.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,796.13 / $10,796.13 / $12,955.36	Facility		$10,796.13	$10,796.13	$12,955.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.99 / $788.81 / $788.81	Professional		$595.99	$788.81	$788.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,125.00 / $8,439.00 / $9,992.00	Facility		$3,125.00	$8,439.00	$9,992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.39 / $971.23 / $1,275.89	Professional		$825.39	$971.23	$1,275.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,063.75 / $1,063.75 / $1,063.75	Professional		$1,063.75	$1,063.75	$1,063.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,663.00 / $10,818.00	Facility		$2,104.00	$4,663.00	$10,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.72 / $757.48 / $1,180.81	Professional		$556.72	$757.48	$1,180.81