Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.70 / $9,062.00 / $16,467.00	Facility		$805.70	$9,062.00	$16,467.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $59,920.69 / $59,920.69 / $59,920.69	Facility	22	$59,920.69	$59,920.69	$59,920.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.35 / $16,251.66 / $33,889.28	Facility		$2,313.35	$16,251.66	$33,889.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.07 / $809.07 / $890.00	Facility		$809.07	$809.07	$890.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.45 / $80.45 / $80.45	Facility	AS	$80.45	$80.45	$80.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.54 / $939.00 / $1,541.16	Facility		$762.54	$939.00	$1,541.16
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $162.30 / $191.38 / $288.87	Facility	80	$162.30	$191.38	$288.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.61 / $133.97 / $202.21	Facility	AS	$113.61	$133.97	$202.21
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