Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,495.41 / $12,022.64	Facility		$1,230.27	$5,495.41	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,011.87 / $10,964.78 / $26,915.35	Facility	50	$5,011.87	$10,964.78	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $3,090.30	Professional		$691.83	$977.24	$3,090.30
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $524.81 / $724.44 / $1,071.52	Professional	54	$524.81	$724.44	$1,071.52
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $44.67 / $169.82 / $229.09	Professional	55	$44.67	$169.82	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $19,054.61	Facility		$2,818.38	$8,511.38	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,089.30	Professional		$724.44	$1,096.48	$2,089.30
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional	54	$1,995.26	$1,995.26	$1,995.26
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $169.82 / $169.82 / $257.04	Professional	55	$169.82	$169.82	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $6,606.93	Facility		$1,122.02	$2,290.87	$6,606.93
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	22	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	54	$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	55	$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $2,570.40	Professional		$691.83	$1,202.26	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,168.69 / $9,549.93	Facility		$1,445.44	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,698.24	Professional		$645.65	$954.99	$1,698.24