Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.65 / $9,855.00 / $19,966.00	Facility		$1,905.65	$9,855.00	$19,966.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,697.23 / $30,640.84 / $54,901.20	Facility		$17,697.23	$30,640.84	$54,901.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,891.01	Facility		$890.00	$890.00	$1,891.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $187.01	Facility	AS	$187.01	$187.01	$187.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,859.57 / $2,306.00 / $3,685.52	Facility		$1,859.57	$2,306.00	$3,685.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $408.90 / $461.20 / $708.11	Facility	80	$408.90	$461.20	$708.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $273.42 / $322.83 / $495.68	Facility	AS	$273.42	$322.83	$495.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,721.00 / $35,581.00	Facility		$3,340.00	$21,721.00	$35,581.00