Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.22 / $3,416.00 / $7,650.73	Facility		$552.22	$3,416.00	$7,650.73
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.52 / $276.11 / $276.11	Facility	52	$117.52	$276.11	$276.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.01 / $110.44 / $110.44	Facility	53	$47.01	$110.44	$110.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $1,895.19 / $3,466.06	Facility		$754.00	$1,895.19	$3,466.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $570.00 / $1,139.16	Facility		$375.00	$570.00	$1,139.16
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $176.57 / $176.57 / $176.57	Facility	52	$176.57	$176.57	$176.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $44.14 / $44.14 / $44.14	Facility	53	$44.14	$44.14	$44.14
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	62	$137.94	$137.94	$137.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $22.07 / $22.07 / $22.07	Facility	AS	$22.07	$22.07	$22.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.67 / $325.00 / $620.40	Facility		$223.67	$325.00	$620.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $64.08 / $65.31 / $134.19	Facility	80	$64.08	$65.31	$134.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $41.42 / $45.72 / $93.94	Facility	AS	$41.42	$45.72	$93.94
United Facility/Professional Facility Modifier Low / Median / High Price $586.00 / $6,172.00 / $8,667.00	Facility		$586.00	$6,172.00	$8,667.00