Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.24 / $1,245.00 / $8,120.82	Facility		$316.24	$1,245.00	$8,120.82
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 $316.24 / $479.51 / $714.70	Facility		$316.24	$479.51	$714.70
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $84.48 / $114.20 / $149.27	Facility	80	$84.48	$114.20	$149.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $59.13 / $79.94 / $104.49	Facility	AS	$59.13	$79.94	$104.49
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 $4,221.42 / $5,052.46 / $5,052.46	Facility		$4,221.42	$5,052.46	$5,052.46
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $277.74 / $486.75 / $956.47	Facility	62	$277.74	$486.75	$956.47
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $44.44 / $77.88 / $153.04	Facility	AS	$44.44	$77.88	$153.04