Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $16,595.87	Facility		$1,949.84	$7,943.28	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $2,818.38	Facility		$34.67	$575.44	$2,818.38
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	22	$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	AS	$281.84	$281.84	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,548.13	Facility		$1,621.81	$2,187.76	$3,548.13
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