Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.94 / $4,375.00 / $16,467.00	Facility		$264.94	$4,375.00	$16,467.00
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 $260.63 / $10,619.00 / $14,963.00	Facility		$260.63	$10,619.00	$14,963.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $159.84 / $159.84 / $159.84	Facility	62	$159.84	$159.84	$159.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $25.58 / $25.58 / $25.58	Facility	AS	$25.58	$25.58	$25.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $224.90 / $301.80 / $450.40	Facility		$224.90	$301.80	$450.40
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $58.87 / $60.36 / $80.13	Facility	80	$58.87	$60.36	$80.13
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.00 / $42.25 / $56.09	Facility	AS	$36.00	$42.25	$56.09
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,679.00 / $12,047.00	Facility		$225.00	$1,679.00	$12,047.00