Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.19 / $5,014.42 / $16,810.93	Facility		$1,686.19	$5,014.42	$16,810.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,913.89 / $10,190.94 / $19,712.46	Facility		$2,913.89	$10,190.94	$19,712.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $1,048.86 / $8,250.83	Facility		$715.00	$1,048.86	$8,250.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $104.89 / $104.89	Facility	AS	$104.89	$104.89	$104.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.33 / $1,002.41 / $1,579.40	Facility		$707.33	$1,002.41	$1,579.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $160.28 / $226.40 / $338.16	Facility	80	$160.28	$226.40	$338.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.19 / $158.47 / $227.63	Facility	AS	$112.19	$158.47	$227.63
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