Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,248.07 / $13,489.63	Facility		$1,584.89	$5,248.07	$13,489.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $6,760.83 / $21,379.62	Facility	50	$3,388.44	$6,760.83	$21,379.62
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	62	$6,025.60	$6,025.60	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $12,589.25 / $25,118.86	Facility		$4,365.16	$12,589.25	$25,118.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,365.16 / $12,302.69	Facility		$323.59	$4,365.16	$12,302.69
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	22	$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	52	$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	62	$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	AS	$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,168.69 / $9,549.93	Facility		$1,548.82	$4,168.69	$9,549.93