Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,682.91 / $7,799.00 / $15,576.41	Facility		$1,682.91	$7,799.00	$15,576.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,538.55 / $6,694.94 / $12,485.66	Facility		$2,538.55	$6,694.94	$12,485.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,280.00 / $2,221.46	Facility		$375.00	$1,280.00	$2,221.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $71.36 / $71.36	Facility	AS	$71.36	$71.36	$71.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $655.48 / $785.23 / $1,272.26	Facility		$655.48	$785.23	$1,272.26
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,123.82 / $1,261.50 / $1,715.01	Facility	50	$1,123.82	$1,261.50	$1,715.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $149.84 / $168.20 / $228.67	Facility	80	$149.84	$168.20	$228.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.89 / $112.30 / $160.07	Facility	AS	$104.89	$112.30	$160.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $12,456.00 / $19,665.00	Facility		$1,224.00	$12,456.00	$19,665.00