Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.88 / $10,028.86 / $30,051.86	Facility		$1,210.88	$10,028.86	$30,051.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,687.29 / $19,477.31 / $42,256.99	Facility		$5,687.29	$19,477.31	$42,256.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $960.09 / $10,619.00 / $29,601.60	Facility		$960.09	$10,619.00	$29,601.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.44 / $95.44 / $95.44	Facility	AS	$95.44	$95.44	$95.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $869.84 / $1,055.47 / $1,841.30	Facility		$869.84	$1,055.47	$1,841.30
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $199.51 / $206.20 / $394.31	Facility	80	$199.51	$206.20	$394.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.27 / $144.34 / $276.02	Facility	AS	$132.27	$144.34	$276.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $21,721.00 / $47,031.00	Facility		$3,340.00	$21,721.00	$47,031.00