Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $2,568.00 / $5,320.00	Facility		$360.90	$2,568.00	$5,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.53 / $107.06 / $172.12	Facility	52	$88.53	$107.06	$172.12
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.37 / $96.04 / $201.20	Facility	53	$42.37	$96.04	$201.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.76 / $297.87 / $614.14	Professional		$175.76	$297.87	$614.14
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.11 / $85.64 / $192.33	Professional	53	$37.11	$85.64	$192.33
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 $212.68 / $358.71 / $579.23	Professional		$212.68	$358.71	$579.23
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $93.12 / $176.78 / $342.19	Professional	53	$93.12	$176.78	$342.19
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 $194.94 / $194.94 / $194.94	Facility	52	$194.94	$194.94	$194.94
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $48.74 / $48.74 / $48.74	Facility	53	$48.74	$48.74	$48.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $94.17 / $144.07 / $268.16	Professional	53	$94.17	$144.07	$268.16
United Facility/Professional Facility Modifier Low / Median / High Price $531.50 / $1,700.00 / $3,837.00	Facility		$531.50	$1,700.00	$3,837.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.19 / $466.21 / $796.58	Professional		$311.19	$466.21	$796.58
United Facility/Professional Professional Modifier 53 Low / Median / High Price $159.44 / $159.44 / $204.84	Professional	53	$159.44	$159.44	$204.84