Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,567.86 / $10,434.20 / $19,050.24	Facility		$2,567.86	$10,434.20	$19,050.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,498.23 / $8,752.77 / $16,414.83	Facility		$2,498.23	$8,752.77	$16,414.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,280.00 / $3,845.77	Facility		$375.00	$1,280.00	$3,845.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,072.18 / $1,492.00 / $2,311.37	Facility		$1,072.18	$1,492.00	$2,311.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $279.20 / $298.39 / $383.58	Facility	80	$279.20	$298.39	$383.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.45 / $208.88 / $268.51	Facility	AS	$195.45	$208.88	$268.51
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $15,451.00 / $23,485.00	Facility		$990.00	$15,451.00	$23,485.00