Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.62 / $6,660.85 / $16,639.00	Facility		$1,404.62	$6,660.85	$16,639.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.00 / $3,049.29 / $8,124.22	Facility		$1,339.00	$3,049.29	$8,124.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,095.64 / $2,472.77	Facility		$375.00	$1,095.64	$2,472.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $962.85 / $1,187.00 / $1,925.69	Facility		$962.85	$1,187.00	$1,925.69
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $229.87 / $237.40 / $347.66	Facility	80	$229.87	$237.40	$347.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $160.91 / $166.18 / $243.36	Facility	AS	$160.91	$166.18	$243.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $19,663.00 / $41,346.00	Facility		$1,375.00	$19,663.00	$41,346.00