Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,985.18 / $11,025.00 / $16,467.00	Facility		$1,985.18	$11,025.00	$16,467.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $992.59 / $992.59 / $2,354.59	Facility	52	$992.59	$992.59	$2,354.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,363.35 / $24,980.00 / $53,762.93	Facility		$2,363.35	$24,980.00	$53,762.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,967.28	Facility		$890.00	$890.00	$1,967.28
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,822.75 / $2,276.60 / $3,853.29	Facility		$1,822.75	$2,276.60	$3,853.29
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $455.32 / $455.32 / $742.68	Facility	80	$455.32	$455.32	$742.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $315.68 / $318.72 / $519.88	Facility	AS	$315.68	$318.72	$519.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,526.00 / $24,161.00	Facility		$3,028.00	$19,526.00	$24,161.00