Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,801.89 / $9,549.93	Facility		$588.84	$3,801.89	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $5,370.32 / $10,964.78	Facility	50	$1,778.28	$5,370.32	$10,964.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,174.90 / $1,174.90 / $2,630.27	Facility	52	$1,174.90	$1,174.90	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $954.99	Professional		$144.54	$323.59	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $524.81 / $3,311.31	Professional	50	$141.25	$524.81	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,165.95 / $14,125.38	Facility		$2,398.83	$6,165.95	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $389.05 / $933.25	Professional		$169.82	$389.05	$933.25
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $562.34 / $1,348.96	Professional	50	$245.47	$562.34	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,659.59 / $12,302.69	Facility		$263.03	$1,659.59	$12,302.69
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	22	$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	52	$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	53	$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $426.58 / $1,047.13	Professional		$173.78	$426.58	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $10,232.93	Facility		$1,584.89	$4,365.16	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $380.19 / $851.14	Professional		$151.36	$380.19	$851.14