Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,630.27 / $6,606.93	Facility		$354.81	$2,630.27	$6,606.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $436.52 / $2,511.89 / $3,162.28	Facility	52	$436.52	$2,511.89	$3,162.28
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $144.54 / $281.84	Facility	53	$74.13	$144.54	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $870.96	Professional		$169.82	$316.23	$870.96
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $125.89 / $229.09	Professional	53	$64.57	$125.89	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $10,000.00	Facility		$1,698.24	$4,365.16	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $630.96	Professional		$204.17	$346.74	$630.96
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $91.20 / $169.82 / $338.84	Professional	53	$91.20	$169.82	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,862.09	Facility		$371.54	$707.95	$1,862.09
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	22	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $436.52	Professional		$263.03	$302.00	$436.52
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $79.43 / $147.91 / $309.03	Professional	53	$79.43	$147.91	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,862.09 / $4,570.88	Facility		$446.68	$1,862.09	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $616.60	Professional		$177.83	$323.59	$616.60
United Facility/Professional Professional Modifier 53 Low / Median / High Price $48.98 / $147.91 / $204.17	Professional	53	$48.98	$147.91	$204.17