Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,801.90 / $5,012.53 / $14,691.00	Facility		$1,801.90	$5,012.53	$14,691.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,762.15 / $10,903.76 / $19,354.97	Facility		$2,762.15	$10,903.76	$19,354.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $1,799.47 / $22,950.22	Facility		$890.00	$1,799.47	$22,950.22
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,113.57 / $1,113.57 / $1,113.57	Facility	62	$1,113.57	$1,113.57	$1,113.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,738.69 / $2,094.00 / $3,512.41	Facility		$1,738.69	$2,094.00	$3,512.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $380.10 / $418.80 / $667.21	Facility	80	$380.10	$418.80	$667.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $266.07 / $293.16 / $447.02	Facility	AS	$266.07	$293.16	$447.02
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