Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,754.40 / $16,218.10	Facility		$1,737.80	$5,754.40	$16,218.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	52	$2,884.03	$2,884.03	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $14,125.38 / $30,199.52	Facility		$5,011.87	$14,125.38	$30,199.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,248.07 / $19,952.62	Facility		$630.96	$5,248.07	$19,952.62
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	22	$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	52	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	AS	$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $8,317.64 / $27,542.29	Facility		$2,398.83	$8,317.64	$27,542.29