Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.98 / $6,195.70 / $16,791.00	Facility		$2,038.98	$6,195.70	$16,791.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $11,130.24 / $11,130.24 / $14,703.54	Facility	22	$11,130.24	$11,130.24	$14,703.54
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $13,922.44 / $13,922.44 / $13,922.44	Facility	62	$13,922.44	$13,922.44	$13,922.44
Aetna Facility/Professional Facility Modifier 80 Low / Median / High Price $6,400.00 / $6,400.00 / $6,400.00	Facility	80	$6,400.00	$6,400.00	$6,400.00
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $24,475.14 / $24,475.14 / $24,475.14	Facility	AS	$24,475.14	$24,475.14	$24,475.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,944.00 / $17,505.00 / $35,464.00	Facility		$5,944.00	$17,505.00	$35,464.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,938.95 / $8,657.64 / $14,005.47	Facility		$1,938.95	$8,657.64	$14,005.47
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,200.02 / $1,200.02 / $1,200.02	Facility	62	$1,200.02	$1,200.02	$1,200.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.00 / $192.00 / $192.00	Facility	AS	$192.00	$192.00	$192.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $8,325.00 / $14,716.00	Facility		$3,028.00	$8,325.00	$14,716.00