Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $4,375.00 / $16,467.00	Facility		$409.90	$4,375.00	$16,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,253.54 / $10,253.54 / $10,253.54	Facility		$10,253.54	$10,253.54	$10,253.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.86 / $410.86 / $890.00	Facility		$410.86	$410.86	$890.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $251.89 / $251.89 / $251.89	Facility	62	$251.89	$251.89	$251.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.29 / $40.29 / $40.29	Facility	AS	$40.29	$40.29	$40.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $396.26 / $508.92 / $809.08	Facility		$396.26	$508.92	$809.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $89.63 / $110.80 / $153.11	Facility	80	$89.63	$110.80	$153.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $62.74 / $77.56 / $107.18	Facility	AS	$62.74	$77.56	$107.18
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00