Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.39 / $9,622.00 / $18,276.00	Facility		$1,115.39	$9,622.00	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,109.54 / $10,399.86 / $18,314.23	Facility		$5,109.54	$10,399.86	$18,314.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.89 / $1,130.00 / $5,740.31	Facility		$1,108.89	$1,130.00	$5,740.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $110.09	Facility	AS	$110.09	$110.09	$110.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,077.05 / $1,394.24 / $2,133.67	Facility		$1,077.05	$1,394.24	$2,133.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $163.12 / $198.94 / $284.47	Facility	AS	$163.12	$198.94	$284.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,637.00 / $17,333.00 / $25,758.00	Facility		$3,637.00	$17,333.00	$25,758.00