Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,635.88 / $14,508.15	Facility		$2,747.00	$7,635.88	$14,508.15
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,268.00 / $6,948.98 / $7,515.51	Facility	22	$6,268.00	$6,948.98	$7,515.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $337.79 / $375.75 / $516.79	Facility	52	$337.79	$375.75	$516.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $135.11 / $150.30 / $206.71	Facility	53	$135.11	$150.30	$206.71
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $7,806.25 / $7,806.25 / $7,806.25	Facility	80	$7,806.25	$7,806.25	$7,806.25
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $4,963.13 / $4,963.13 / $10,815.93	Facility	AS	$4,963.13	$4,963.13	$10,815.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $826.34 / $2,654.62	Professional		$632.69	$826.34	$2,654.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,527.00 / $10,858.00 / $17,300.00	Facility		$4,527.00	$10,858.00	$17,300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.87 / $892.00 / $1,342.83	Professional		$648.87	$892.00	$1,342.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $3,298.00 / $6,240.00	Facility		$1,121.00	$3,298.00	$6,240.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $594.13 / $594.13 / $594.13	Facility	52	$594.13	$594.13	$594.13
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.53 / $148.53 / $148.53	Facility	53	$148.53	$148.53	$148.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.27 / $74.27 / $74.27	Facility	AS	$74.27	$74.27	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.13 / $951.06 / $1,546.60	Professional		$650.13	$951.06	$1,546.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,194.50 / $6,895.50 / $13,246.50	Facility		$2,194.50	$6,895.50	$13,246.50
United Facility/Professional Professional Modifier Low / Median / High Price $605.50 / $854.08 / $1,517.60	Professional		$605.50	$854.08	$1,517.60