Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.13 / $10,434.78 / $19,001.55	Facility		$1,499.13	$10,434.78	$19,001.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,476.09 / $11,722.25 / $19,677.77	Facility		$5,476.09	$11,722.25	$19,677.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.67 / $5,740.31 / $14,963.00	Facility		$1,470.67	$5,740.31	$14,963.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $913.41 / $913.41 / $913.41	Facility	62	$913.41	$913.41	$913.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.15 / $146.15 / $146.15	Facility	AS	$146.15	$146.15	$146.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,367.50 / $1,649.04 / $2,851.26	Facility		$1,367.50	$1,649.04	$2,851.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $296.91 / $346.39 / $529.27	Facility	80	$296.91	$346.39	$529.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $207.84 / $228.80 / $370.49	Facility	AS	$207.84	$228.80	$370.49
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