Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $5,872.86 / $13,764.00	Facility		$1,615.00	$5,872.86	$13,764.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,491.89 / $9,491.89 / $13,562.72	Facility		$9,491.89	$9,491.89	$13,562.72
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 $1,535.42 / $2,097.85 / $3,089.41	Facility		$1,535.42	$2,097.85	$3,089.41
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $374.83 / $470.40 / $724.72	Facility	80	$374.83	$470.40	$724.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $262.38 / $329.28 / $507.30	Facility	AS	$262.38	$329.28	$507.30
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 / $15,921.72 / $15,921.72	Facility		$11,000.00	$15,921.72	$15,921.72
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $217.02 / $380.58 / $763.43	Facility	AS	$217.02	$380.58	$763.43