Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.55 / $9,062.00 / $18,276.00	Facility		$1,485.55	$9,062.00	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,037.42 / $25,970.62 / $43,667.88	Facility		$12,037.42	$25,970.62	$43,667.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,487.30	Facility		$890.00	$890.00	$1,487.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $147.38 / $147.38 / $147.38	Facility	AS	$147.38	$147.38	$147.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,299.75 / $1,736.05 / $2,877.20	Facility		$1,299.75	$1,736.05	$2,877.20
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $259.95 / $361.80 / $544.60	Facility	80	$259.95	$361.80	$544.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $253.26 / $381.22	Facility	AS	$181.97	$253.26	$381.22
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