Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,244.36 / $26,302.68	Facility		$1,862.09	$7,244.36	$26,302.68
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,754.23 / $9,120.11 / $16,218.10	Facility	22	$2,754.23	$9,120.11	$16,218.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38,018.94 / $38,018.94 / $38,018.94	Facility	52	$38,018.94	$38,018.94	$38,018.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $13,489.63 / $28,840.32	Facility		$4,677.35	$13,489.63	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,265.80 / $30,199.52	Facility		$1,479.11	$4,265.80	$30,199.52
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	22	$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	52	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	62	$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	AS	$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $11,481.54 / $26,915.35	Facility		$3,630.78	$11,481.54	$26,915.35