Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $16,595.87	Facility		$2,137.96	$7,943.28	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $3,090.30	Facility		$34.67	$562.34	$3,090.30
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	22	$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	52	$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	AS	$309.03	$309.03	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Professional		$1,778.28	$1,778.28	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,715.35	Facility		$1,621.81	$2,290.87	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,165.95 / $8,912.51	Facility		$478.63	$6,165.95	$8,912.51