Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,924.45 / $8,170.40 / $14,691.00	Facility		$3,924.45	$8,170.40	$14,691.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,343.10 / $11,119.18 / $19,354.97	Facility		$4,343.10	$11,119.18	$19,354.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.59 / $2,345.00 / $5,740.31	Facility		$1,700.59	$2,345.00	$5,740.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $168.44 / $168.44 / $168.44	Facility	AS	$168.44	$168.44	$168.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,616.96 / $1,973.00 / $3,301.17	Facility		$1,616.96	$1,973.00	$3,301.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $350.51 / $394.60 / $633.40	Facility	80	$350.51	$394.60	$633.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $245.36 / $276.22 / $443.38	Facility	AS	$245.36	$276.22	$443.38
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