Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.51 / $6,305.59 / $11,025.00	Facility		$1,341.51	$6,305.59	$11,025.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,638.07 / $10,415.50 / $17,689.34	Facility		$4,638.07	$10,415.50	$17,689.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,971.55 / $3,971.55 / $5,103.52	Facility		$3,971.55	$3,971.55	$5,103.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $627.97 / $785.00 / $1,262.59	Facility		$627.97	$785.00	$1,262.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $128.33 / $157.00 / $252.52	Facility	80	$128.33	$157.00	$252.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.83 / $109.90 / $176.76	Facility	AS	$89.83	$109.90	$176.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,959.00 / $23,485.00	Facility		$2,912.00	$16,959.00	$23,485.00