Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.54 / $5,192.00 / $9,499.33	Facility		$664.54	$5,192.00	$9,499.33
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,707.54 / $9,707.54 / $9,707.54	Facility	50	$9,707.54	$9,707.54	$9,707.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,949.74 / $8,327.15	Facility		$1,400.00	$2,949.74	$8,327.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,956.98 / $1,956.98 / $2,514.75	Facility		$1,956.98	$1,956.98	$2,514.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $433.80 / $586.89 / $960.84	Facility		$433.80	$586.89	$960.84
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $880.34 / $880.34 / $1,194.75	Facility	50	$880.34	$880.34	$1,194.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $78.31 / $82.16 / $111.51	Facility	AS	$78.31	$82.16	$111.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,798.00 / $19,665.00	Facility		$2,155.00	$12,798.00	$19,665.00