Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,764.83 / $13,116.12 / $27,165.71	Facility		$2,764.83	$13,116.12	$27,165.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,474.69 / $17,884.27 / $34,857.08	Facility		$5,474.69	$17,884.27	$34,857.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $1,100.00 / $15,678.68	Facility		$715.00	$1,100.00	$15,678.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $113.45 / $113.45 / $113.45	Facility	AS	$113.45	$113.45	$113.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,136.70 / $1,439.00 / $2,254.17	Facility		$1,136.70	$1,439.00	$2,254.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $253.69 / $289.00 / $437.01	Facility	80	$253.69	$289.00	$437.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $177.58 / $202.30 / $305.91	Facility	AS	$177.58	$202.30	$305.91
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