Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.51 / $2,498.50 / $10,613.35	Facility		$1,261.51	$2,498.50	$10,613.35
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 $1,261.51 / $1,693.11 / $2,800.00	Facility		$1,261.51	$1,693.11	$2,800.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $307.37 / $370.80 / $570.20	Facility	80	$307.37	$370.80	$570.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $215.16 / $259.56 / $399.14	Facility	AS	$215.16	$259.56	$399.14
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,453.00 / $28,898.00	Facility		$8,153.00	$21,453.00	$28,898.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $16,335.22 / $16,335.22	Facility		$5,000.00	$16,335.22	$16,335.22
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,137.36 / $2,007.47 / $4,036.11	Facility	62	$1,137.36	$2,007.47	$4,036.11
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $181.98 / $321.20 / $645.78	Facility	AS	$181.98	$321.20	$645.78