Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.75 / $7,357.91 / $16,110.12	Facility		$2,145.75	$7,357.91	$16,110.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,692.28 / $7,456.62 / $17,453.78	Facility		$2,692.28	$7,456.62	$17,453.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.11 / $2,345.00 / $5,740.31	Facility		$1,039.11	$2,345.00	$5,740.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.31 / $103.31 / $103.31	Facility	AS	$103.31	$103.31	$103.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,015.06 / $1,201.04 / $1,994.12	Facility		$1,015.06	$1,201.04	$1,994.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $220.14 / $240.21 / $422.94	Facility	80	$220.14	$240.21	$422.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $154.10 / $168.15 / $296.06	Facility	AS	$154.10	$168.15	$296.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $20,341.00 / $27,446.00	Facility		$4,628.00	$20,341.00	$27,446.00