Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.83 / $2,361.09 / $5,499.78	Facility		$340.83	$2,361.09	$5,499.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.48 / $102.70 / $171.80	Facility	52	$88.48	$102.70	$171.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.04 / $94.12 / $196.63	Facility	53	$41.04	$94.12	$196.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $292.95 / $572.47	Professional		$174.78	$292.95	$572.47
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.04 / $84.03 / $184.65	Professional	53	$37.04	$84.03	$184.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,419.00 / $4,098.00	Facility		$1,421.00	$2,419.00	$4,098.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.36 / $352.26 / $567.85	Professional		$206.36	$352.26	$567.85
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $94.64 / $176.26 / $327.51	Professional	53	$94.64	$176.26	$327.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $632.00 / $1,139.06	Facility		$455.00	$632.00	$1,139.06
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	52	$194.61	$194.61	$194.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.65 / $48.65 / $48.65	Facility	53	$48.65	$48.65	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $94.49 / $143.54 / $264.32	Professional	53	$94.49	$143.54	$264.32
United Facility/Professional Facility Modifier Low / Median / High Price $531.50 / $1,689.00 / $3,837.00	Facility		$531.50	$1,689.00	$3,837.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.43 / $448.28 / $779.85	Professional		$312.43	$448.28	$779.85
United Facility/Professional Professional Modifier 53 Low / Median / High Price $172.50 / $172.50 / $204.61	Professional	53	$172.50	$172.50	$204.61