Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,495.41 / $10,000.00	Facility		$912.01	$5,495.41	$10,000.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,548.13 / $12,589.25 / $12,589.25	Facility	22	$3,548.13	$12,589.25	$12,589.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,122.02 / $2,630.27 / $6,606.93	Facility	52	$1,122.02	$2,630.27	$6,606.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $2,187.76 / $3,890.45 / $6,606.93	Facility	53	$2,187.76	$3,890.45	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $501.19 / $1,995.26	Professional		$229.09	$501.19	$1,995.26
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $77.62 / $177.83 / $1,584.89	Professional	53	$77.62	$177.83	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,495.41 / $12,589.25	Facility		$2,041.74	$5,495.41	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $2,290.87	Professional		$269.15	$575.44	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $4,365.16 / $18,197.01	Facility		$398.11	$4,365.16	$18,197.01
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	22	$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	52	$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.43 / $79.43 / $79.43	Facility	53	$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $3,162.28	Professional		$269.15	$562.34	$3,162.28
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $891.25 / $954.99 / $3,019.95	Professional	53	$891.25	$954.99	$3,019.95
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 $239.88 / $436.52 / $2,290.87	Professional		$239.88	$436.52	$2,290.87