Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,041.74 / $5,754.40	Facility		$309.03	$2,041.74	$5,754.40
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $794.33 / $3,630.78 / $3,630.78	Facility	22	$794.33	$3,630.78	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,202.26 / $3,162.28 / $6,165.95	Facility	50	$1,202.26	$3,162.28	$6,165.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $1,174.90 / $1,584.89 / $3,019.95	Facility	53	$1,174.90	$1,584.89	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $870.96	Professional		$104.71	$245.47	$870.96
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $190.55 / $1,548.82	Professional	22	$141.25	$190.55	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $398.11 / $1,412.54	Professional	50	$154.88	$398.11	$1,412.54
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.29 / $97.72 / $186.21	Professional	53	$51.29	$97.72	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $8,709.64	Facility		$1,445.44	$3,630.78	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $371.54	Professional		$95.50	$165.96	$371.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $251.19 / $549.54	Professional	50	$141.25	$251.19	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $891.25 / $2,454.71	Facility		$186.21	$891.25	$2,454.71
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	22	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	53	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $602.56	Professional		$120.23	$257.04	$602.56
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $128.82 / $165.96 / $323.59	Professional	53	$128.82	$165.96	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,949.84 / $4,677.35	Facility		$645.65	$1,949.84	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $457.09	Professional		$100.00	$213.80	$457.09