Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.08 / $7,799.00 / $16,171.76	Facility		$2,952.08	$7,799.00	$16,171.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,245.35 / $11,396.22 / $19,354.97	Facility		$5,245.35	$11,396.22	$19,354.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,476.67 / $5,740.31 / $14,963.00	Facility		$1,476.67	$5,740.31	$14,963.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.47 / $146.47 / $146.47	Facility	AS	$146.47	$146.47	$146.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,423.73 / $1,728.00 / $2,949.58	Facility		$1,423.73	$1,728.00	$2,949.58
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,309.57 / $2,612.44 / $4,600.50	Facility	50	$2,309.57	$2,612.44	$4,600.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $307.94 / $348.32 / $613.40	Facility	80	$307.94	$348.32	$613.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.56 / $243.83 / $429.38	Facility	AS	$215.56	$243.83	$429.38
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