Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.42 / $5,866.00 / $133,345.64	Facility		$922.42	$5,866.00	$133,345.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $928.06	Facility		$890.00	$890.00	$928.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $569.25 / $569.25 / $569.25	Facility	62	$569.25	$569.25	$569.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $91.08	Facility	AS	$91.08	$91.08	$91.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $890.99 / $1,144.00 / $1,820.25	Facility		$890.99	$1,144.00	$1,820.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $199.23 / $242.40 / $341.83	Facility	80	$199.23	$242.40	$341.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.46 / $169.68 / $239.28	Facility	AS	$139.46	$169.68	$239.28
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00