Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.73 / $5,628.00 / $10,918.47	Facility		$1,701.73	$5,628.00	$10,918.47
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,008.04 / $5,008.04 / $5,382.54	Facility	22	$5,008.04	$5,008.04	$5,382.54
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $10,322.36 / $10,322.36 / $10,322.36	Facility	80	$10,322.36	$10,322.36	$10,322.36
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $5,613.54 / $5,613.54 / $5,744.25	Facility	AS	$5,613.54	$5,613.54	$5,744.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,232.05 / $3,798.34	Professional		$931.51	$1,232.05	$3,798.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,010.00 / $9,877.00 / $19,497.00	Facility		$5,010.00	$9,877.00	$19,497.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.64 / $1,408.37 / $2,148.21	Professional		$1,015.64	$1,408.37	$2,148.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,637.05 / $5,577.46	Facility		$1,400.00	$3,637.05	$5,577.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,062.67 / $1,571.70 / $2,338.56	Professional		$1,062.67	$1,571.70	$2,338.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $7,457.00 / $14,139.00	Facility		$3,028.00	$7,457.00	$14,139.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.86 / $1,347.59 / $2,345.63	Professional		$981.86	$1,347.59	$2,345.63