Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,958.67 / $9,770.94 / $16,467.00	Facility		$3,958.67	$9,770.94	$16,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.23 / $10,367.42 / $20,652.61	Facility		$2,674.23	$10,367.42	$20,652.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $883.12 / $15,446.60	Facility		$715.00	$883.12	$15,446.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.84 / $87.84 / $87.84	Facility	AS	$87.84	$87.84	$87.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $855.17 / $1,124.82 / $1,712.74	Facility		$855.17	$1,124.82	$1,712.74
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $194.63 / $236.20 / $327.12	Facility	80	$194.63	$236.20	$327.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $136.24 / $165.34 / $228.98	Facility	AS	$136.24	$165.34	$228.98
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