Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,370.32 / $10,232.93	Facility		$1,258.93	$5,370.32	$10,232.93
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	22	$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $6,456.54 / $12,589.25	Facility	50	$1,949.84	$6,456.54	$12,589.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	53	$616.60	$616.60	$616.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $2,691.53 / $8,709.64 / $8,709.64	Facility	54	$2,691.53	$8,709.64	$8,709.64
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	55	$4,677.35	$4,677.35	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $707.95 / $2,754.23	Professional		$346.74	$707.95	$2,754.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $2,137.96 / $4,365.16	Professional	50	$741.31	$2,137.96	$4,365.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $512.86 / $1,096.48	Professional	54	$281.84	$512.86	$1,096.48
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $9.12 / $97.72 / $501.19	Professional	55	$9.12	$97.72	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,511.38 / $19,054.61	Facility		$2,691.53	$8,511.38	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,548.82	Professional		$562.34	$831.76	$1,548.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $1,174.90 / $2,238.72	Professional	50	$831.76	$1,174.90	$2,238.72
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional	54	$1,905.46	$1,905.46	$1,905.46
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $128.82 / $128.82 / $194.98	Professional	55	$128.82	$128.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $6,165.95	Facility		$891.25	$1,949.84	$6,165.95
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	53	$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	54	$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier 55 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	55	$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,949.84	Professional		$512.86	$912.01	$1,949.84
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 $478.63 / $707.95 / $1,258.93	Professional		$478.63	$707.95	$1,258.93