Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,746.81 / $6,214.94 / $16,467.00	Facility		$2,746.81	$6,214.94	$16,467.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,613.14 / $2,028.79 / $2,373.60	Facility		$1,613.14	$2,028.79	$2,373.60
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 $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,153.30 / $2,791.75 / $4,669.58	Facility		$2,153.30	$2,791.75	$4,669.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $435.97 / $558.35 / $843.46	Facility	80	$435.97	$558.35	$843.46
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $305.18 / $390.85 / $590.41	Facility	AS	$305.18	$390.85	$590.41
United Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $6,074.00 / $8,818.00	Facility		$454.00	$6,074.00	$8,818.00