Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.06 / $7,799.00 / $19,966.00	Facility		$1,736.06	$7,799.00	$19,966.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $868.03 / $868.03 / $2,053.87	Facility	52	$868.03	$868.03	$2,053.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.35 / $20,154.99 / $40,644.43	Facility		$2,313.35	$20,154.99	$40,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,723.69	Facility		$890.00	$890.00	$1,723.69
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,362.43 / $1,362.43 / $1,362.43	Facility	52	$1,362.43	$1,362.43	$1,362.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.30 / $170.30 / $170.30	Facility	AS	$170.30	$170.30	$170.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,699.15 / $2,124.94 / $3,366.01	Facility		$1,699.15	$2,124.94	$3,366.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $375.03 / $434.00 / $647.13	Facility	80	$375.03	$434.00	$647.13
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $257.74 / $303.80 / $452.99	Facility	AS	$257.74	$303.80	$452.99
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