Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $7,702.70 / $12,727.48	Facility		$1,988.00	$7,702.70	$12,727.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,761.31 / $8,531.58 / $17,594.34	Facility		$3,761.31	$8,531.58	$17,594.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $847.76 / $7,526.76	Facility		$715.00	$847.76	$7,526.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.37 / $84.37 / $84.37	Facility	AS	$84.37	$84.37	$84.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $833.36 / $1,024.96 / $1,632.67	Facility		$833.36	$1,024.96	$1,632.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $176.38 / $213.60 / $313.41	Facility	80	$176.38	$213.60	$313.41
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $123.47 / $149.52 / $219.39	Facility	AS	$123.47	$149.52	$219.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,223.00 / $23,485.00	Facility		$2,912.00	$16,223.00	$23,485.00