Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,856.29 / $4,162.89 / $10,300.00	Facility		$1,856.29	$4,162.89	$10,300.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $19,854.98 / $19,854.98 / $19,854.98	Facility	22	$19,854.98	$19,854.98	$19,854.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,025.11 / $4,850.62 / $5,168.95	Facility	52	$4,025.11	$4,850.62	$5,168.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,321.00 / $11,930.50 / $20,711.22	Facility		$5,321.00	$11,930.50	$20,711.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,742.54 / $8,772.72 / $12,445.50	Facility		$3,742.54	$8,772.72	$12,445.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,691.71 / $1,691.71 / $1,691.71	Facility	52	$1,691.71	$1,691.71	$1,691.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $211.46 / $211.46 / $211.46	Facility	AS	$211.46	$211.46	$211.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $6,759.00 / $12,494.00	Facility		$3,261.00	$6,759.00	$12,494.00