Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,173.60 / $12,613.99 / $22,917.64	Facility		$3,173.60	$12,613.99	$22,917.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,588.78 / $13,588.78 / $29,697.48	Facility	50	$13,588.78	$13,588.78	$29,697.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.60 / $9,170.81 / $16,513.82	Facility		$3,204.60	$9,170.81	$16,513.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,413.02 / $3,413.02 / $4,385.79	Facility		$3,413.02	$3,413.02	$4,385.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,104.66 / $1,405.70 / $2,691.70	Facility		$1,104.66	$1,405.70	$2,691.70
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,665.99 / $2,098.23 / $4,037.55	Facility	50	$1,665.99	$2,098.23	$4,037.55
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $222.13 / $279.76 / $538.34	Facility	80	$222.13	$279.76	$538.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $155.49 / $195.83 / $376.84	Facility	AS	$155.49	$195.83	$376.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $23,485.00	Facility		$2,912.00	$16,959.00	$23,485.00