Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,108.11 / $13,423.20 / $20,299.62	Facility		$3,108.11	$13,423.20	$20,299.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,125.81 / $29,471.53 / $63,048.93	Facility		$9,125.81	$29,471.53	$63,048.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.96 / $12,500.00 / $14,849.61	Facility		$1,300.96	$12,500.00	$14,849.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $128.96	Facility	AS	$128.96	$128.96	$128.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,226.47 / $1,602.00 / $2,548.53	Facility		$1,226.47	$1,602.00	$2,548.53
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,013.63 / $2,403.00 / $3,672.44	Facility	50	$2,013.63	$2,403.00	$3,672.44
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $268.48 / $320.39 / $489.66	Facility	80	$268.48	$320.39	$489.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $187.94 / $224.28 / $342.76	Facility	AS	$187.94	$224.28	$342.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,635.00 / $35,581.00	Facility		$3,340.00	$21,635.00	$35,581.00