Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.25 / $5,645.24 / $13,764.00	Facility		$1,661.25	$5,645.24	$13,764.00
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 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,491.16 / $2,111.81 / $3,016.26	Facility		$1,491.16	$2,111.81	$3,016.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $378.99 / $476.60 / $703.83	Facility	80	$378.99	$476.60	$703.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $265.29 / $333.62 / $471.80	Facility	AS	$265.29	$333.62	$471.80
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $11,000.00 / $15,548.58 / $15,548.58	Facility		$11,000.00	$15,548.58	$15,548.58
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,326.45 / $2,353.94 / $4,653.54	Facility	62	$1,326.45	$2,353.94	$4,653.54
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $212.23 / $376.63 / $744.57	Facility	AS	$212.23	$376.63	$744.57