Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.70 / $9,062.00 / $18,276.00	Facility		$1,435.70	$9,062.00	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,245.35 / $11,145.94 / $19,507.71	Facility		$5,245.35	$11,145.94	$19,507.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.32 / $5,740.31 / $14,963.00	Facility		$1,407.32	$5,740.31	$14,963.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $139.58 / $139.58 / $139.58	Facility	AS	$139.58	$139.58	$139.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,292.02 / $1,568.98 / $2,756.61	Facility		$1,292.02	$1,568.98	$2,756.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $287.70 / $306.39 / $574.96	Facility	80	$287.70	$306.39	$574.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $194.46 / $214.48 / $402.47	Facility	AS	$194.46	$214.48	$402.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $17,146.00 / $24,161.00	Facility		$3,028.00	$17,146.00	$24,161.00