Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.56 / $3,273.14 / $16,467.00	Facility		$1,437.56	$3,273.14	$16,467.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $718.78 / $1,636.57 / $1,636.57	Facility	52	$718.78	$1,636.57	$1,636.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $287.51 / $654.63 / $654.63	Facility	53	$287.51	$654.63	$654.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $560.00 / $615.00	Facility		$100.00	$560.00	$615.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,091.32 / $1,091.32 / $1,091.32	Facility	52	$1,091.32	$1,091.32	$1,091.32
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $272.83 / $272.83 / $272.83	Facility	53	$272.83	$272.83	$272.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $136.41 / $136.41	Facility	AS	$136.41	$136.41	$136.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,209.61 / $1,466.99 / $2,467.59	Facility		$1,209.61	$1,466.99	$2,467.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $260.00 / $293.39 / $444.21	Facility	80	$260.00	$293.39	$444.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.00 / $205.38 / $310.95	Facility	AS	$182.00	$205.38	$310.95
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $6,074.00 / $8,818.00	Facility		$454.00	$6,074.00	$8,818.00