Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.10 / $9,855.00 / $19,966.00	Facility		$1,671.10	$9,855.00	$19,966.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $835.55 / $835.55 / $1,975.93	Facility	52	$835.55	$835.55	$1,975.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.35 / $16,251.66 / $40,644.43	Facility		$2,313.35	$16,251.66	$40,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,659.29	Facility		$890.00	$890.00	$1,659.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,312.03 / $1,312.03 / $1,312.03	Facility	52	$1,312.03	$1,312.03	$1,312.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $164.00 / $164.00 / $164.00	Facility	AS	$164.00	$164.00	$164.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,634.57 / $2,082.00 / $3,239.41	Facility		$1,634.57	$2,082.00	$3,239.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $360.43 / $416.40 / $622.38	Facility	80	$360.43	$416.40	$622.38
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $252.30 / $291.48 / $435.67	Facility	AS	$252.30	$291.48	$435.67
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