Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,123.72 / $9,554.21 / $22,275.74	Facility		$4,123.72	$9,554.21	$22,275.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,889.01 / $11,755.50 / $26,602.44	Facility		$2,889.01	$11,755.50	$26,602.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $560.00 / $615.00	Facility		$100.00	$560.00	$615.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,558.54 / $1,989.12 / $3,103.13	Facility		$1,558.54	$1,989.12	$3,103.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $390.37 / $390.37 / $559.65	Facility	80	$390.37	$390.37	$559.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $273.26 / $273.26 / $391.75	Facility	AS	$273.26	$273.26	$391.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $17,146.00 / $24,161.00	Facility		$1,250.00	$17,146.00	$24,161.00