Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $207.86 / $3,702.20	Facility		$50.26	$207.86	$3,702.20
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $58.71 / $191.47 / $1,710.47	Facility	50	$58.71	$191.47	$1,710.47
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.45 / $23.45 / $34.16	Facility	52	$16.45	$23.45	$34.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $51.47 / $121.81	Professional		$29.36	$51.47	$121.81
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $104.08 / $106.76 / $157.55	Professional	22	$104.08	$106.76	$157.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $62.97 / $115.14 / $274.50	Professional	50	$62.97	$115.14	$274.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.15 / $21.99 / $38.00	Professional	52	$15.15	$21.99	$38.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $2,971.00 / $4,441.52	Facility		$1,691.00	$2,971.00	$4,441.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.12 / $51.25 / $85.76	Professional		$32.12	$51.25	$85.76
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $73.67 / $112.63	Professional	50	$53.70	$73.67	$112.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $54.72 / $67.53	Facility		$54.72	$54.72	$67.53
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.78 / $43.78 / $43.78	Facility	52	$43.78	$43.78	$43.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $59.60 / $102.85	Professional		$36.67	$59.60	$102.85
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,221.00 / $2,883.00	Facility		$376.00	$1,221.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $64.34 / $110.16	Professional		$46.63	$64.34	$110.16