Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $109.25 / $288.54	Facility		$55.15	$109.25	$288.54
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $26.97 / $28.77 / $88.22	Facility	52	$26.97	$28.77	$88.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $37.65 / $65.64	Professional		$30.06	$37.65	$65.64
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $96.69 / $100.81 / $104.36	Professional	22	$96.69	$100.81	$104.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.01 / $17.73 / $25.02	Professional	52	$15.01	$17.73	$25.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $322.48 / $551.44	Facility		$150.97	$322.48	$551.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.62 / $43.53 / $64.52	Professional		$32.62	$43.53	$64.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $49.43 / $52.50	Facility		$40.00	$49.43	$52.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.10 / $41.10 / $41.10	Facility	52	$41.10	$41.10	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $46.42 / $76.12	Professional		$29.50	$46.42	$76.12
United Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $97.20 / $97.20	Facility		$97.20	$97.20	$97.20
United Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $40.86 / $71.29	Professional		$31.58	$40.86	$71.29