Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $2,325.17 / $5,333.34	Facility		$705.00	$2,325.17	$5,333.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,627.30 / $3,627.30 / $5,182.95	Facility		$3,627.30	$3,627.30	$5,182.95
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 $705.01 / $1,059.85 / $1,742.82	Facility		$705.01	$1,059.85	$1,742.82
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $183.98 / $303.20 / $370.00	Facility	80	$183.98	$303.20	$370.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.79 / $212.24 / $259.00	Facility	AS	$128.79	$212.24	$259.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $14,893.00 / $22,265.00	Facility		$4,015.00	$14,893.00	$22,265.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $11,297.16 / $11,297.16	Facility		$5,000.00	$11,297.16	$11,297.16
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $620.63 / $1,081.98 / $2,139.91	Facility	62	$620.63	$1,081.98	$2,139.91
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $99.30 / $173.12 / $342.39	Facility	AS	$99.30	$173.12	$342.39