Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,188.14 / $7,470.03 / $10,376.29	Facility		$5,188.14	$7,470.03	$10,376.29
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $29,121.72 / $29,121.72 / $29,121.72	Facility	22	$29,121.72	$29,121.72	$29,121.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,603.83 / $6,603.83 / $9,337.53	Facility	50	$6,603.83	$6,603.83	$9,337.53
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $22,050.32 / $22,050.32 / $22,050.32	Facility	AS	$22,050.32	$22,050.32	$22,050.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $643.98 / $1,363.00	Facility		$643.98	$643.98	$1,363.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $670.85 / $9,772.09 / $15,861.38	Facility		$670.85	$9,772.09	$15,861.38
Martin's Point Facility/Professional Facility Modifier 22 Low / Median / High Price $29,121.72 / $29,121.72 / $29,121.72	Facility	22	$29,121.72	$29,121.72	$29,121.72
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $6,603.83 / $6,603.83 / $9,337.53	Facility	50	$6,603.83	$6,603.83	$9,337.53
Martin's Point Facility/Professional Facility Modifier AS Low / Median / High Price $22,050.32 / $22,050.32 / $22,050.32	Facility	AS	$22,050.32	$22,050.32	$22,050.32