Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.79 / $2,130.07 / $16,467.00	Facility		$891.79	$2,130.07	$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 / $892.03	Facility		$890.00	$890.00	$892.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.39 / $87.39 / $87.39	Facility	AS	$87.39	$87.39	$87.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.79 / $1,114.74 / $1,750.11	Facility		$891.79	$1,114.74	$1,750.11
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,524.45 / $1,701.00 / $2,571.78	Facility	50	$1,524.45	$1,701.00	$2,571.78
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $203.26 / $226.80 / $342.90	Facility	80	$203.26	$226.80	$342.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.28 / $158.76 / $240.03	Facility	AS	$142.28	$158.76	$240.03
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