Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.49 / $8,783.00 / $16,639.00	Facility		$543.49	$8,783.00	$16,639.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,373.20 / $5,373.20 / $5,373.20	Facility	50	$5,373.20	$5,373.20	$5,373.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.63 / $5,205.85 / $9,180.70	Facility		$2,017.63	$5,205.85	$9,180.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.34 / $890.00 / $2,581.96	Facility		$541.34	$890.00	$2,581.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.24 / $53.24 / $53.24	Facility	AS	$53.24	$53.24	$53.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $543.49 / $681.08 / $1,064.56	Facility		$543.49	$681.08	$1,064.56
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $945.44 / $1,122.00 / $1,582.59	Facility	50	$945.44	$1,122.00	$1,582.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $126.06 / $149.60 / $211.01	Facility	80	$126.06	$149.60	$211.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $87.28 / $104.72 / $147.71	Facility	AS	$87.28	$104.72	$147.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,456.00 / $19,591.00	Facility		$2,155.00	$12,456.00	$19,591.00