Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,511.38 / $19,498.45	Facility		$2,570.40	$8,511.38	$19,498.45
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,890.45 / $7,762.47 / $25,118.86	Facility	22	$3,890.45	$7,762.47	$25,118.86
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	52	$5,248.07	$5,248.07	$5,248.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility	53	$14,125.38	$14,125.38	$14,125.38
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $3,630.78 / $9,332.54 / $24,547.09	Facility	80	$3,630.78	$9,332.54	$24,547.09
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $1,584.89 / $13,182.57	Facility	AS	$33.88	$1,584.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,884.03	Professional		$630.96	$1,000.00	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $13,803.84 / $28,183.83	Facility		$4,677.35	$13,803.84	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,513.56	Professional		$575.44	$870.96	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,951.21 / $16,982.44	Facility		$812.83	$2,951.21	$16,982.44
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	22	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	52	$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	53	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	AS	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,862.09	Professional		$616.60	$912.01	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $18,197.01	Facility		$2,137.96	$7,943.28	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,380.38	Professional		$562.34	$776.25	$1,380.38