Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $10,232.93 / $30,199.52	Facility		$2,511.89	$10,232.93	$30,199.52
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,890.45 / $15,135.61 / $37,153.52	Facility	22	$3,890.45	$15,135.61	$37,153.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $16,595.87 / $43,651.58	Facility	50	$4,786.30	$16,595.87	$43,651.58
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	80	$194.98	$194.98	$194.98
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $602.56 / $9,332.54 / $17,782.79	Facility	AS	$602.56	$9,332.54	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $6,760.83	Professional		$954.99	$1,737.80	$6,760.83
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $165.96 / $331.13 / $954.99	Professional	AS	$165.96	$331.13	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $17,378.01 / $41,686.94	Facility		$5,754.40	$17,378.01	$41,686.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,548.13	Professional		$1,288.25	$1,949.84	$3,548.13
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $177.83 / $263.03 / $478.63	Professional	AS	$177.83	$263.03	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $37,153.52	Facility		$1,548.82	$4,466.84	$37,153.52
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 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 $1,318.26 / $2,089.30 / $4,168.69	Professional		$1,318.26	$2,089.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $12,589.25 / $33,884.42	Facility		$3,630.78	$12,589.25	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,019.95	Professional		$1,148.15	$1,698.24	$3,019.95