Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.55 / $3,439.50 / $6,858.00	Facility		$637.55	$3,439.50	$6,858.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,913.00 / $3,913.00 / $3,913.00	Facility	22	$3,913.00	$3,913.00	$3,913.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,506.25 / $5,158.58 / $8,016.43	Facility	50	$3,506.25	$5,158.58	$8,016.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $452.66 / $1,134.73	Professional		$368.06	$452.66	$1,134.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $626.25 / $1,203.00 / $1,665.25	Professional	50	$626.25	$1,203.00	$1,665.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $4,133.00 / $8,240.00	Facility		$2,266.00	$4,133.00	$8,240.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.72 / $546.39 / $868.70	Professional		$410.72	$546.39	$868.70
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $561.20 / $738.90 / $1,236.55	Professional	50	$561.20	$738.90	$1,236.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.64 / $921.94 / $1,387.40	Facility		$742.64	$921.94	$1,387.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.43 / $612.44 / $989.35	Professional		$438.43	$612.44	$989.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $3,999.00 / $8,342.00	Facility		$1,832.00	$3,999.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.38 / $583.92 / $986.90	Professional		$390.38	$583.92	$986.90