Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.63 / $649.46 / $16,467.00	Facility		$282.63	$649.46	$16,467.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $141.32 / $324.73 / $324.73	Facility	52	$141.32	$324.73	$324.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $560.00 / $615.00	Facility		$273.83	$560.00	$615.00
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $249.16 / $326.00 / $495.45	Facility		$249.16	$326.00	$495.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $59.44 / $65.20 / $96.68	Facility	80	$59.44	$65.20	$96.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $41.61 / $45.64 / $67.67	Facility	AS	$41.61	$45.64	$67.67
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