Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.79 / $10,434.20 / $21,886.00	Facility		$1,316.79	$10,434.20	$21,886.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,725.54 / $10,596.89 / $18,266.91	Facility		$4,725.54	$10,596.89	$18,266.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $5,537.38 / $16,205.00	Facility		$375.00	$5,537.38	$16,205.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.45 / $125.45 / $125.45	Facility	AS	$125.45	$125.45	$125.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,033.83 / $1,238.00 / $2,238.54	Facility		$1,033.83	$1,238.00	$2,238.54
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $209.11 / $239.20 / $402.75	Facility	80	$209.11	$239.20	$402.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.38 / $167.44 / $281.92	Facility	AS	$146.38	$167.44	$281.92
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