Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,025.60 / $12,882.50	Facility		$1,174.90	$6,025.60	$12,882.50
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $8,317.64 / $19,498.45	Facility	50	$3,890.45	$8,317.64	$19,498.45
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility	80	$14,454.40	$14,454.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,089.30	Professional		$478.63	$776.25	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $8,317.64 / $15,488.17	Facility		$2,951.21	$8,317.64	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,071.52	Professional		$467.74	$588.84	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,737.80 / $7,079.46	Facility		$776.25	$1,737.80	$7,079.46
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,479.11	Professional		$446.68	$691.83	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,128.61 / $12,022.64	Facility		$1,318.26	$5,128.61	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,071.52	Professional		$426.58	$588.84	$1,071.52