Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.34 / $9,062.00 / $18,276.00	Facility		$1,720.34	$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 / $1,720.92	Facility		$890.00	$890.00	$1,720.92
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,069.99 / $1,069.99 / $1,069.99	Facility	62	$1,069.99	$1,069.99	$1,069.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,629.72 / $1,972.00 / $3,309.57	Facility		$1,629.72	$1,972.00	$3,309.57
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $351.08 / $394.40 / $681.49	Facility	80	$351.08	$394.40	$681.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $240.38 / $276.08 / $477.04	Facility	AS	$240.38	$276.08	$477.04
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