Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,890.45 / $9,549.93	Facility		$831.76	$3,890.45	$9,549.93
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,073.80 / $5,370.32 / $5,370.32	Facility	22	$4,073.80	$5,370.32	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $3,801.89 / $19,054.61	Facility	50	$1,995.26	$3,801.89	$19,054.61
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	AS	$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $2,511.89	Professional		$524.81	$794.33	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,248.07 / $11,220.18	Facility		$2,089.30	$5,248.07	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,513.56	Professional		$489.78	$758.58	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $4,365.16	Facility		$724.44	$1,412.54	$4,365.16
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	22	$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	AS	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,995.26	Professional		$549.54	$870.96	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $9,549.93	Facility		$1,479.11	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,318.26	Professional		$478.63	$691.83	$1,318.26