Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.80 / $7,799.00 / $16,467.00	Facility		$1,260.80	$7,799.00	$16,467.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $630.40 / $1,423.90 / $1,423.90	Facility	52	$630.40	$1,423.90	$1,423.90
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 $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,005.31 / $1,279.77 / $2,149.86	Facility		$1,005.31	$1,279.77	$2,149.86
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $212.80 / $255.95 / $386.49	Facility	80	$212.80	$255.95	$386.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $148.96 / $179.17 / $270.54	Facility	AS	$148.96	$179.17	$270.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.00 / $15,451.00 / $24,352.00	Facility		$1,698.00	$15,451.00	$24,352.00