Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.11 / $7,217.66 / $18,276.00	Facility		$1,420.11	$7,217.66	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $6,725.88 / $12,485.66	Facility		$2,367.00	$6,725.88	$12,485.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $670.45 / $2,221.46	Facility		$375.00	$670.45	$2,221.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $607.62 / $766.67 / $1,181.02	Facility		$607.62	$766.67	$1,181.02
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,133.06 / $1,159.26 / $1,588.70	Facility	50	$1,133.06	$1,159.26	$1,588.70
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $151.07 / $154.57 / $211.83	Facility	80	$151.07	$154.57	$211.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.75 / $108.20 / $148.28	Facility	AS	$105.75	$108.20	$148.28
United Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $12,269.00 / $19,591.00	Facility		$870.00	$12,269.00	$19,591.00