Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.98 / $9,062.00 / $18,276.00	Facility		$1,719.98	$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 / $1,723.40	Facility		$890.00	$890.00	$1,723.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.16 / $171.16 / $171.16	Facility	AS	$171.16	$171.16	$171.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,623.83 / $1,943.00 / $3,295.84	Facility		$1,623.83	$1,943.00	$3,295.84
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $348.82 / $388.60 / $616.28	Facility	80	$348.82	$388.60	$616.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $238.79 / $272.02 / $431.40	Facility	AS	$238.79	$272.02	$431.40
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