Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.69 / $3,416.00 / $19,076.80	Facility		$846.69	$3,416.00	$19,076.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,184.75 / $12,569.54	Facility		$2,500.00	$7,184.75	$12,569.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $817.93 / $4,180.34	Facility		$375.00	$817.93	$4,180.34
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.59 / $80.59 / $80.59	Facility	AS	$80.59	$80.59	$80.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $743.15 / $929.00 / $1,439.37	Facility		$743.15	$929.00	$1,439.37
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $177.80 / $186.70 / $259.08	Facility	80	$177.80	$186.70	$259.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $124.46 / $130.06 / $181.36	Facility	AS	$124.46	$130.06	$181.36
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