Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,287.08 / $11,186.78 / $23,262.84	Facility		$3,287.08	$11,186.78	$23,262.84
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,604.50 / $13,040.35 / $14,988.76	Facility	22	$12,604.50	$13,040.35	$14,988.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,570.16 / $15,307.59 / $26,170.66	Facility	50	$8,570.16	$15,307.59	$26,170.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $989.83 / $1,120.96 / $1,544.00	Facility	54	$989.83	$1,120.96	$1,544.00
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $195.25 / $195.25 / $195.25	Facility	80	$195.25	$195.25	$195.25
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $5,272.85 / $9,362.60 / $9,362.60	Facility	AS	$5,272.85	$9,362.60	$9,362.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.14 / $1,526.21 / $3,889.13	Professional		$1,165.14	$1,526.21	$3,889.13
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $168.77 / $340.10 / $882.37	Professional	AS	$168.77	$340.10	$882.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $21,543.00 / $36,529.00	Facility		$12,000.00	$21,543.00	$36,529.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.28 / $1,808.55 / $2,901.13	Professional		$1,278.28	$1,808.55	$2,901.13
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $176.00 / $245.76 / $394.54	Professional	AS	$176.00	$245.76	$394.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,453.24 / $11,197.67 / $13,107.50	Facility		$1,453.24	$11,197.67	$13,107.50
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,006.58 / $1,006.58 / $1,006.58	Facility	54	$1,006.58	$1,006.58	$1,006.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.80 / $143.80 / $143.80	Facility	AS	$143.80	$143.80	$143.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.63 / $2,002.21 / $3,087.70	Professional		$1,369.63	$2,002.21	$3,087.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $10,927.00 / $26,000.00	Facility		$4,505.00	$10,927.00	$26,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.54 / $1,789.43 / $2,985.96	Professional		$1,269.54	$1,789.43	$2,985.96