Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,724.54 / $9,062.00 / $18,276.00	Facility		$2,724.54	$9,062.00	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,783.09 / $10,824.58 / $17,240.66	Facility		$4,783.09	$10,824.58	$17,240.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $2,733.97	Facility		$890.00	$890.00	$2,733.97
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,605.10 / $3,077.58 / $5,329.62	Facility		$2,605.10	$3,077.58	$5,329.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $570.67 / $615.52 / $1,013.09	Facility	80	$570.67	$615.52	$1,013.09
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $399.48 / $430.86 / $709.16	Facility	AS	$399.48	$430.86	$709.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,526.00 / $24,161.00	Facility		$3,028.00	$19,526.00	$24,161.00