Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.94 / $4,665.52 / $9,027.64	Facility		$1,148.94	$4,665.52	$9,027.64
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $670.34 / $670.34 / $11,101.00	Facility	22	$670.34	$670.34	$11,101.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,875.46 / $6,408.55 / $11,003.08	Facility	50	$3,875.46	$6,408.55	$11,003.08
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $30.42 / $30.42 / $30.42	Facility	AS	$30.42	$30.42	$30.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $682.10 / $1,674.81	Professional		$525.09	$682.10	$1,674.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $6,474.00 / $13,810.27	Facility		$3,302.10	$6,474.00	$13,810.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.63 / $795.91 / $1,160.67	Professional		$613.63	$795.91	$1,160.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,796.85 / $2,009.11 / $2,674.12	Facility		$1,796.85	$2,009.11	$2,674.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.30 / $74.30 / $74.30	Facility	AS	$74.30	$74.30	$74.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.70 / $952.10 / $1,525.28	Professional		$549.70	$952.10	$1,525.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $3,951.00 / $8,339.00	Facility		$1,981.00	$3,951.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.29 / $827.64 / $1,504.57	Professional		$550.29	$827.64	$1,504.57