Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,801.29 / $9,417.58 / $25,092.85	Facility		$2,801.29	$9,417.58	$25,092.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,811.60 / $12,620.35 / $24,747.74	Facility		$4,811.60	$12,620.35	$24,747.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.77 / $2,000.00 / $7,831.34	Facility		$1,200.77	$2,000.00	$7,831.34
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.08 / $119.08 / $119.08	Facility	AS	$119.08	$119.08	$119.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,090.52 / $1,355.70 / $2,302.21	Facility		$1,090.52	$1,355.70	$2,302.21
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,853.37 / $2,033.55 / $3,286.71	Facility	50	$1,853.37	$2,033.55	$3,286.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $247.12 / $271.14 / $438.23	Facility	80	$247.12	$271.14	$438.23
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.98 / $189.80 / $306.76	Facility	AS	$172.98	$189.80	$306.76
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