Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.04 / $7,799.00 / $16,467.00	Facility		$906.04	$7,799.00	$16,467.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $453.02 / $1,028.76 / $1,028.76	Facility	52	$453.02	$1,028.76	$1,028.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,200.00 / $1,491.92	Facility		$850.00	$1,200.00	$1,491.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $560.00 / $715.00	Facility		$100.00	$560.00	$715.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $775.09 / $980.00 / $1,554.65	Facility		$775.09	$980.00	$1,554.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $184.60 / $196.00 / $279.61	Facility	80	$184.60	$196.00	$279.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.22 / $137.19 / $195.72	Facility	AS	$129.22	$137.19	$195.72
United Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $12,269.00 / $19,591.00	Facility		$870.00	$12,269.00	$19,591.00