Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.75 / $7,453.50 / $13,576.11	Facility		$2,114.75	$7,453.50	$13,576.11
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,993.49 / $7,221.24 / $8,823.89	Facility	22	$6,993.49	$7,221.24	$8,823.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $367.78 / $453.15 / $860.27	Facility	52	$367.78	$453.15	$860.27
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $3,729.80 / $3,729.80 / $3,729.80	Facility	80	$3,729.80	$3,729.80	$3,729.80
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $117.36 / $117.36 / $117.36	Facility	AS	$117.36	$117.36	$117.36
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.35 / $3,271.75 / $5,819.95	Facility		$1,138.35	$3,271.75	$5,819.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,194.50 / $6,902.50 / $13,246.50	Facility		$2,194.50	$6,902.50	$13,246.50