Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.75 / $9,062.00 / $27,527.25	Facility		$1,413.75	$9,062.00	$27,527.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,296.60 / $9,339.07 / $16,855.89	Facility		$2,296.60	$9,339.07	$16,855.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,349.70 / $3,845.77	Facility		$375.00	$1,349.70	$3,845.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,239.93 / $1,716.00 / $2,597.32	Facility		$1,239.93	$1,716.00	$2,597.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $319.92 / $343.20 / $455.20	Facility	80	$319.92	$343.20	$455.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $223.94 / $240.24 / $318.64	Facility	AS	$223.94	$240.24	$318.64
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