Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,562.00 / $3,884.00	Facility		$400.00	$2,562.00	$3,884.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $175.20 / $180.63 / $201.13	Facility	52	$175.20	$180.63	$201.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $212.18 / $212.18	Facility		$40.00	$212.18	$212.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $525.00 / $815.00	Facility		$273.83	$525.00	$815.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,261.00 / $7,168.00	Facility		$385.00	$1,261.00	$7,168.00