Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,660.85 / $10,741.90 / $20,498.00	Facility		$6,660.85	$10,741.90	$20,498.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,660.10 / $8,272.95 / $16,491.66	Facility	50	$7,660.10	$8,272.95	$16,491.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,030.76 / $8,898.94 / $18,482.77	Facility		$3,030.76	$8,898.94	$18,482.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.79 / $5,740.31 / $14,963.00	Facility		$1,043.79	$5,740.31	$14,963.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.83 / $103.83 / $103.83	Facility	AS	$103.83	$103.83	$103.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,031.38 / $1,237.98 / $2,433.00	Facility		$1,031.38	$1,237.98	$2,433.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,697.66 / $1,856.97 / $4,022.95	Facility	50	$1,697.66	$1,856.97	$4,022.95
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $226.35 / $247.60 / $536.39	Facility	80	$226.35	$247.60	$536.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $158.44 / $172.65 / $375.48	Facility	AS	$158.44	$172.65	$375.48
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