Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.90 / $9,308.31 / $22,776.00	Facility		$1,806.90	$9,308.31	$22,776.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $903.45 / $2,066.12 / $2,066.12	Facility	52	$903.45	$2,066.12	$2,066.12
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 $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,535.87 / $1,902.00 / $3,091.43	Facility		$1,535.87	$1,902.00	$3,091.43
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $372.09 / $380.40 / $560.79	Facility	80	$372.09	$380.40	$560.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $260.45 / $266.27 / $392.56	Facility	AS	$260.45	$266.27	$392.56
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $15,451.00 / $23,485.00	Facility		$990.00	$15,451.00	$23,485.00