Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $6,606.93	Facility		$389.05	$2,630.27	$6,606.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $457.09 / $1,445.44 / $2,691.53	Facility	52	$457.09	$1,445.44	$2,691.53
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $75.86 / $144.54 / $281.84	Facility	53	$75.86	$144.54	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $954.99	Professional		$169.82	$316.23	$954.99
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $66.07 / $128.82 / $275.42	Professional	53	$66.07	$128.82	$275.42
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 $199.53 / $338.84 / $630.96	Professional		$199.53	$338.84	$630.96
BCBS Facility/Professional Professional Modifier 53 Low / Median / High Price $85.11 / $169.82 / $371.54	Professional	53	$85.11	$169.82	$371.54
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 $269.15 / $302.00 / $436.52	Professional		$269.15	$302.00	$436.52
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $151.36 / $354.81	Professional	53	$83.18	$151.36	$354.81
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