Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.31 / $1,736.86 / $4,062.27	Facility		$245.31	$1,736.86	$4,062.27
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,225.21 / $2,225.21 / $2,225.21	Facility	22	$2,225.21	$2,225.21	$2,225.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,194.89 / $2,778.87 / $4,534.58	Facility	50	$1,194.89	$2,778.87	$4,534.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.04 / $42.49 / $73.58	Facility	53	$22.04	$42.49	$73.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $219.72 / $598.52	Professional		$95.09	$219.72	$598.52
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.52 / $141.52 / $191.19	Professional	22	$141.52	$141.52	$191.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.40 / $377.56 / $1,402.63	Professional	50	$154.40	$377.56	$1,402.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.80 / $42.53 / $71.39	Professional	53	$20.80	$42.53	$71.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $2,479.00 / $4,441.52	Facility		$1,399.00	$2,479.00	$4,441.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $144.97 / $245.35	Professional		$106.80	$144.97	$245.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $156.20 / $218.67 / $339.25	Professional	50	$156.20	$218.67	$339.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.66 / $524.37 / $716.91	Facility		$441.66	$524.37	$716.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.61 / $37.61 / $37.61	Facility	53	$37.61	$37.61	$37.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $244.71 / $476.09	Professional		$125.72	$244.71	$476.09
United Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $1,940.00 / $4,067.00	Facility		$788.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.56 / $327.89 / $544.11	Professional		$211.56	$327.89	$544.11
United Facility/Professional Professional Modifier 50 Low / Median / High Price $270.11 / $270.11 / $270.11	Professional	50	$270.11	$270.11	$270.11