Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $66.07 / $257.04	Facility		$29.51	$66.07	$257.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $64.57 / $147.91 / $426.58	Facility	25	$64.57	$147.91	$426.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	50	$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $117.49	Professional		$28.18	$52.48	$117.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.36 / $58.88 / $128.82	Professional	25	$32.36	$58.88	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $35.48 / $46.77	Facility		$28.84	$35.48	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $41.69 / $74.13	Professional		$1.00	$41.69	$74.13
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	25	$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $109.65 / $199.53	Facility		$38.90	$109.65	$199.53
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	22	$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	62	$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.37 / $5.37 / $5.37	Facility	AS	$5.37	$5.37	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $100.00	Professional		$28.84	$48.98	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $36.31 / $52.48	Facility		$21.38	$36.31	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $72.44	Professional		$23.44	$39.81	$72.44