Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,890.19 / $6,673.80 / $12,994.00	Facility		$2,890.19	$6,673.80	$12,994.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,172.34 / $5,447.34 / $9,761.96	Facility		$2,172.34	$5,447.34	$9,761.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,181.83 / $3,845.77	Facility		$375.00	$1,181.83	$3,845.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $915.00 / $1,248.89 / $2,134.94	Facility		$915.00	$1,248.89	$2,134.94
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $183.00 / $213.80 / $392.24	Facility	80	$183.00	$213.80	$392.24
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.10 / $149.66 / $274.57	Facility	AS	$128.10	$149.66	$274.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.00 / $15,256.00 / $20,836.00	Facility		$1,698.00	$15,256.00	$20,836.00