Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.24 / $14,691.00 / $21,886.00	Facility		$1,602.24	$14,691.00	$21,886.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $801.12 / $12,234.29 / $12,234.29	Facility	52	$801.12	$12,234.29	$12,234.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,363.35 / $24,448.00 / $44,827.44	Facility		$2,363.35	$24,448.00	$44,827.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,589.74	Facility		$890.00	$890.00	$1,589.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,562.74 / $1,936.00 / $3,091.48	Facility		$1,562.74	$1,936.00	$3,091.48
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,563.62 / $2,904.00 / $4,454.87	Facility	50	$2,563.62	$2,904.00	$4,454.87
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $341.82 / $387.20 / $593.98	Facility	80	$341.82	$387.20	$593.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $239.27 / $271.04 / $415.79	Facility	AS	$239.27	$271.04	$415.79
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