Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,715.35 / $9,120.11	Facility		$549.54	$3,715.35	$9,120.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,862.09 / $3,630.78	Facility		$758.58	$1,862.09	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,096.48	Facility		$338.84	$562.34	$1,096.48
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	62	$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	AS	$33.88	$33.88	$33.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Professional		$354.81	$354.81	$407.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $537.03	Facility		$199.53	$316.23	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,309.57 / $10,000.00	Facility		$616.60	$6,309.57	$10,000.00