Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.49 / $9,062.00 / $18,276.00	Facility		$1,400.49	$9,062.00	$18,276.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,050.36 / $1,050.36 / $2,472.77	Facility	54	$1,050.36	$1,050.36	$2,472.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,783.09 / $10,824.58 / $20,677.25	Facility		$4,783.09	$10,824.58	$20,677.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,389.07	Facility		$890.00	$890.00	$1,389.07
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $964.30 / $964.30 / $964.30	Facility	54	$964.30	$964.30	$964.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $137.76 / $137.76 / $137.76	Facility	AS	$137.76	$137.76	$137.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,366.19 / $1,896.11 / $2,706.38	Facility		$1,366.19	$1,896.11	$2,706.38
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,255.98 / $3,031.50 / $4,348.64	Facility	50	$2,255.98	$3,031.50	$4,348.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $300.80 / $404.20 / $579.82	Facility	80	$300.80	$404.20	$579.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $210.56 / $282.94 / $405.87	Facility	AS	$210.56	$282.94	$405.87
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