Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.28 / $9,062.00 / $16,467.00	Facility		$1,548.28	$9,062.00	$16,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,114.82 / $27,416.96 / $43,667.88	Facility		$12,114.82	$27,416.96	$43,667.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,548.07	Facility		$890.00	$890.00	$1,548.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,183.73 / $1,548.28 / $2,990.80	Facility		$1,183.73	$1,548.28	$2,990.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,849.46 / $2,104.50 / $4,002.62	Facility	50	$1,849.46	$2,104.50	$4,002.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $246.59 / $280.60 / $533.67	Facility	80	$246.59	$280.60	$533.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.62 / $196.42 / $373.58	Facility	AS	$172.62	$196.42	$373.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $19,915.00 / $30,476.00	Facility		$3,340.00	$19,915.00	$30,476.00