Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,581.10 / $9,062.00 / $31,604.22	Facility		$2,581.10	$9,062.00	$31,604.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,574.01 / $12,188.75 / $33,889.28	Facility		$1,574.01	$12,188.75	$33,889.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.00 / $1,091.96 / $24,321.80	Facility		$890.00	$1,091.96	$24,321.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.27 / $108.27 / $108.27	Facility	AS	$108.27	$108.27	$108.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,077.44 / $1,368.99 / $2,113.08	Facility		$1,077.44	$1,368.99	$2,113.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $239.27 / $284.00 / $409.81	Facility	80	$239.27	$284.00	$409.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $167.49 / $198.80 / $286.87	Facility	AS	$167.49	$198.80	$286.87
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