Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $8,128.31 / $19,498.45	Facility		$1,819.70	$8,128.31	$19,498.45
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,168.69 / $8,912.51 / $16,982.44	Facility	22	$4,168.69	$8,912.51	$16,982.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,818.38 / $7,413.10 / $13,182.57	Facility	52	$2,818.38	$7,413.10	$13,182.57
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $954.99 / $1,096.48 / $3,801.89	Facility	80	$954.99	$1,096.48	$3,801.89
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	AS	$117.49	$117.49	$117.49
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $19,054.61	Facility		$1,148.15	$3,235.94	$19,054.61
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	22	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	52	$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
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