Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $12,882.50	Facility		$1,258.93	$4,677.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,995.26 / $3,467.37	Professional		$588.84	$1,995.26	$3,467.37
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $346.74 / $660.69	Professional	AS	$165.96	$346.74	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,148.15 / $1,698.24	Professional		$162.18	$1,148.15	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $15,848.93 / $23,442.29	Facility		$12,882.50	$15,848.93	$23,442.29
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $19,054.61 / $23,442.29 / $30,902.95	Facility	50	$19,054.61	$23,442.29	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,388.44	Professional		$1,778.28	$2,089.30	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $14,125.38 / $14,125.38	Facility		$2,187.76	$14,125.38	$14,125.38
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 $1,096.48 / $1,778.28 / $3,388.44	Professional		$1,096.48	$1,778.28	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $12,589.25	Facility		$2,511.89	$6,606.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,454.71	Professional		$1,023.29	$1,380.38	$2,454.71