Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,208.53 / $10,713.51 / $24,729.00	Facility		$3,208.53	$10,713.51	$24,729.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $16,373.45 / $18,648.05 / $19,034.40	Facility	22	$16,373.45	$18,648.05	$19,034.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $22,077.02 / $23,440.00	Facility	50	$10,000.00	$22,077.02	$23,440.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $988.93 / $1,051.79 / $1,497.11	Facility	54	$988.93	$1,051.79	$1,497.11
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $5,703.07 / $5,703.07 / $5,703.07	Facility	AS	$5,703.07	$5,703.07	$5,703.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.91 / $1,490.92 / $4,028.72	Professional		$1,171.91	$1,490.92	$4,028.72
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $159.50 / $354.37 / $911.08	Professional	AS	$159.50	$354.37	$911.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,271.00 / $20,383.00 / $33,637.00	Facility		$9,271.00	$20,383.00	$33,637.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.25 / $1,806.07 / $2,725.50	Professional		$1,259.25	$1,806.07	$2,725.50
BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $172.88 / $240.76 / $371.55	Professional	AS	$172.88	$240.76	$371.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,455.37 / $12,003.44 / $14,133.78	Facility		$1,455.37	$12,003.44	$14,133.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,008.15 / $1,008.15 / $1,008.15	Facility	54	$1,008.15	$1,008.15	$1,008.15
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $900.13 / $900.13 / $900.13	Facility	62	$900.13	$900.13	$900.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.02 / $144.02 / $144.02	Facility	AS	$144.02	$144.02	$144.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.18 / $1,954.43 / $3,066.38	Professional		$1,362.18	$1,954.43	$3,066.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,505.00 / $11,420.00 / $25,050.00	Facility		$4,505.00	$11,420.00	$25,050.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,254.71 / $1,768.84 / $2,981.73	Professional		$1,254.71	$1,768.84	$2,981.73