Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,458.65 / $6,774.95 / $21,249.05	Facility		$2,458.65	$6,774.95	$21,249.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,152.60 / $10,019.95 / $18,416.99	Facility		$2,152.60	$10,019.95	$18,416.99
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 $102.97 / $102.97 / $102.97	Facility	AS	$102.97	$102.97	$102.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $920.92 / $1,139.15 / $1,883.95	Facility		$920.92	$1,139.15	$1,883.95
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $220.98 / $227.83 / $370.44	Facility	80	$220.98	$227.83	$370.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $154.69 / $159.47 / $256.20	Facility	AS	$154.69	$159.47	$256.20
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