Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.14 / $3,757.00 / $9,004.65	Facility		$434.14	$3,757.00	$9,004.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $270.51 / $510.00 / $1,092.00	Facility		$270.51	$510.00	$1,092.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $83.29 / $134.81 / $218.40	Facility	80	$83.29	$134.81	$218.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $58.30 / $89.74 / $152.88	Facility	AS	$58.30	$89.74	$152.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,772.19 / $19,913.50 / $26,542.00	Facility		$1,772.19	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $78.72 / $1,134.79 / $1,887.52	Facility	AS	$78.72	$1,134.79	$1,887.52