Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.12 / $9,062.00 / $18,276.00	Facility		$1,371.12	$9,062.00	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,783.09 / $11,334.77 / $22,240.91	Facility		$4,783.09	$11,334.77	$22,240.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $890.00 / $1,360.16	Facility		$890.00	$890.00	$1,360.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.00 / $135.00 / $135.00	Facility	AS	$135.00	$135.00	$135.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $1,616.00 / $2,641.54	Facility		$1,302.00	$1,616.00	$2,641.54
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $271.80 / $323.20 / $506.04	Facility	80	$271.80	$323.20	$506.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $190.26 / $226.24 / $354.23	Facility	AS	$190.26	$226.24	$354.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $19,526.00 / $24,161.00	Facility		$3,028.00	$19,526.00	$24,161.00