Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.97 / $3,776.86 / $17,377.75	Facility		$1,655.97	$3,776.86	$17,377.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.47 / $5,002.76 / $8,478.10	Facility		$1,505.47	$5,002.76	$8,478.10
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 AS Low / Median / High Price $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,121.38 / $1,595.26 / $2,815.15	Facility		$1,121.38	$1,595.26	$2,815.15
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $241.00 / $263.20 / $512.57	Facility	80	$241.00	$263.20	$512.57
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.70 / $184.24 / $358.80	Facility	AS	$168.70	$184.24	$358.80
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