Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.12 / $8,960.00 / $21,886.00	Facility		$1,012.12	$8,960.00	$21,886.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,776.79 / $14,272.03 / $25,571.79	Facility		$5,776.79	$14,272.03	$25,571.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $1,005.10 / $14,753.22	Facility		$715.00	$1,005.10	$14,753.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $99.88	Facility	AS	$99.88	$99.88	$99.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $1,098.94 / $1,941.52	Facility		$910.86	$1,098.94	$1,941.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $210.76 / $215.33 / $371.22	Facility	80	$210.76	$215.33	$371.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.38 / $150.72 / $259.85	Facility	AS	$142.38	$150.72	$259.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $20,341.00 / $27,446.00	Facility		$4,628.00	$20,341.00	$27,446.00