Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,637.14 / $22,776.00 / $37,090.40	Facility		$4,637.14	$22,776.00	$37,090.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,245.89 / $14,578.74 / $27,188.10	Facility		$4,245.89	$14,578.74	$27,188.10
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 $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,752.75 / $2,236.98 / $3,488.37	Facility		$1,752.75	$2,236.98	$3,488.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $439.04 / $439.04 / $629.33	Facility	80	$439.04	$439.04	$629.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $307.33 / $307.33 / $440.53	Facility	AS	$307.33	$307.33	$440.53
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