Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $9,062.00 / $18,276.00	Facility		$1,722.47	$9,062.00	$18,276.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,476.09 / $11,396.22 / $19,507.71	Facility		$5,476.09	$11,396.22	$19,507.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.77 / $10,619.00 / $14,963.00	Facility		$1,694.77	$10,619.00	$14,963.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $168.25 / $168.25 / $168.25	Facility	AS	$168.25	$168.25	$168.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,594.04 / $1,894.72 / $3,300.61	Facility		$1,594.04	$1,894.72	$3,300.61
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $344.69 / $378.00 / $691.41	Facility	80	$344.69	$378.00	$691.41
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $233.30 / $264.60 / $483.99	Facility	AS	$233.30	$264.60	$483.99
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