Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.73 / $5,084.84 / $11,124.00	Facility		$2,464.73	$5,084.84	$11,124.00
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,844.88 / $2,844.88 / $2,844.88	Facility	62	$2,844.88	$2,844.88	$2,844.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,696.32 / $5,696.32 / $8,139.33	Facility		$5,696.32	$5,696.32	$8,139.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $15,564.98	Facility		$606.10	$606.10	$15,564.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,654.39 / $2,276.26 / $3,186.76	Facility		$1,654.39	$2,276.26	$3,186.76
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $455.25 / $455.25 / $780.87	Facility	80	$455.25	$455.25	$780.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $308.51 / $318.68 / $546.61	Facility	AS	$308.51	$318.68	$546.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $17,637.18 / $44,898.11 / $51,439.50	Facility		$17,637.18	$44,898.11	$51,439.50
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,306.98 / $18,320.84 / $30,473.31	Facility	62	$2,306.98	$18,320.84	$30,473.31
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $369.12 / $2,931.33 / $4,875.72	Facility	AS	$369.12	$2,931.33	$4,875.72