Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,104.14 / $9,884.54 / $24,649.00	Facility		$4,104.14	$9,884.54	$24,649.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $424.06 / $952.28 / $952.28	Facility	52	$424.06	$952.28	$952.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,132.63 / $8,906.95 / $17,555.21	Facility		$4,132.63	$8,906.95	$17,555.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $3,235.02 / $16,205.00	Facility		$375.00	$3,235.02	$16,205.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $645.72 / $645.72 / $645.72	Facility	52	$645.72	$645.72	$645.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.72 / $80.72 / $80.72	Facility	AS	$80.72	$80.72	$80.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $742.53 / $943.28 / $1,582.34	Facility		$742.53	$943.28	$1,582.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $179.86 / $193.55 / $297.45	Facility	80	$179.86	$193.55	$297.45
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.90 / $135.47 / $208.22	Facility	AS	$125.90	$135.47	$208.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $17,146.00 / $24,161.00	Facility		$1,250.00	$17,146.00	$24,161.00