Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $10,471.29 / $18,197.01	Facility		$1,258.93	$10,471.29	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $1,819.70	Facility		$34.67	$562.34	$1,819.70
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	22	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	52	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,412.54	Professional		$1,174.90	$1,174.90	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $2,238.72	Facility		$1,000.00	$1,380.38	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $16,595.87 / $25,703.96	Facility		$1,000.00	$16,595.87	$25,703.96