Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.48 / $14,691.00 / $23,310.25	Facility		$2,171.48	$14,691.00	$23,310.25
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,085.74 / $1,085.74 / $2,573.21	Facility	52	$1,085.74	$1,085.74	$2,573.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,363.35 / $26,969.82 / $55,708.04	Facility		$2,363.35	$26,969.82	$55,708.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $2,155.96	Facility		$890.00	$890.00	$2,155.96
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,701.26 / $1,701.26 / $1,701.26	Facility	52	$1,701.26	$1,701.26	$1,701.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $212.66 / $212.66 / $212.66	Facility	AS	$212.66	$212.66	$212.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,123.39 / $2,714.36 / $4,223.55	Facility		$2,123.39	$2,714.36	$4,223.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $471.96 / $550.60 / $895.12	Facility	80	$471.96	$550.60	$895.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $330.37 / $385.42 / $626.58	Facility	AS	$330.37	$385.42	$626.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,721.00 / $35,581.00	Facility		$3,340.00	$21,721.00	$35,581.00