Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.76 / $10,395.00 / $21,870.00	Facility		$1,292.76	$10,395.00	$21,870.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.54 / $19,997.41 / $33,569.01	Facility		$4,725.54	$19,997.41	$33,569.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.30 / $1,282.30 / $16,500.00	Facility		$1,282.30	$1,282.30	$16,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $127.24	Facility	AS	$127.24	$127.24	$127.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,257.44 / $1,493.00 / $2,494.38	Facility		$1,257.44	$1,493.00	$2,494.38
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $272.55 / $305.24 / $476.95	Facility	80	$272.55	$305.24	$476.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $190.79 / $213.67 / $333.86	Facility	AS	$190.79	$213.67	$333.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $19,627.00 / $24,161.00	Facility		$4,628.00	$19,627.00	$24,161.00