Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.50 / $1,867.12 / $16,467.00	Facility		$829.50	$1,867.12	$16,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,416.90 / $5,901.42 / $10,098.66	Facility		$1,416.90	$5,901.42	$10,098.66
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 AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $692.52 / $846.09 / $1,410.15	Facility		$692.52	$846.09	$1,410.15
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $154.00 / $167.60 / $253.40	Facility	80	$154.00	$167.60	$253.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.80 / $117.32 / $177.38	Facility	AS	$107.80	$117.32	$177.38
United Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $10,069.00 / $16,249.00	Facility		$710.00	$10,069.00	$16,249.00