Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.13 / $8,570.37 / $12,766.95	Facility		$1,101.13	$8,570.37	$12,766.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.35 / $9,057.48 / $16,414.83	Facility		$1,146.35	$9,057.48	$16,414.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $655.00 / $3,845.77	Facility		$375.00	$655.00	$3,845.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $47.01 / $47.01	Facility	AS	$47.01	$47.01	$47.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $438.44 / $636.00 / $1,011.12	Facility		$438.44	$636.00	$1,011.12
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $116.42 / $127.20 / $210.60	Facility	80	$116.42	$127.20	$210.60
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $81.48 / $89.04 / $147.41	Facility	AS	$81.48	$89.04	$147.41
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