Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,289.23 / $9,340.50 / $35,239.75	Facility		$2,289.23	$9,340.50	$35,239.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,807.00 / $15,705.45 / $43,667.88	Facility		$1,807.00	$15,705.45	$43,667.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,738.20	Facility		$890.00	$890.00	$1,738.20
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,695.42 / $2,122.00 / $3,392.69	Facility		$1,695.42	$2,122.00	$3,392.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $369.55 / $424.40 / $646.52	Facility	80	$369.55	$424.40	$646.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $258.69 / $297.08 / $452.56	Facility	AS	$258.69	$297.08	$452.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,721.00 / $33,364.00	Facility		$3,340.00	$21,721.00	$33,364.00