Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $11,481.54 / $32,359.37	Facility		$2,691.53	$11,481.54	$32,359.37
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,168.69 / $18,197.01 / $34,673.69	Facility	22	$4,168.69	$18,197.01	$34,673.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $20,417.38 / $51,286.14	Facility	50	$6,456.54	$20,417.38	$51,286.14
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $269.15 / $13,489.63 / $20,892.96	Facility	AS	$269.15	$13,489.63	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,819.70 / $6,456.54	Professional		$831.76	$1,819.70	$6,456.54
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $338.84 / $912.01	Professional	AS	$162.18	$338.84	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,182.57 / $36,307.81	Facility		$4,897.79	$13,182.57	$36,307.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,388.44	Professional		$1,258.93	$1,905.46	$3,388.44
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $173.78 / $251.19 / $457.09	Professional	AS	$173.78	$251.19	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $8,511.38 / $43,651.58	Facility		$2,041.74	$8,511.38	$43,651.58
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	62	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $4,168.69	Professional		$1,288.25	$2,041.74	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $12,302.69 / $33,884.42	Facility		$3,630.78	$12,302.69	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,951.21	Professional		$1,122.02	$1,621.81	$2,951.21