Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.59 / $7,904.08 / $13,063.11	Facility		$678.59	$7,904.08	$13,063.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,221.47 / $3,221.47 / $4,603.08	Facility		$3,221.47	$3,221.47	$4,603.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $7,744.32	Facility		$606.10	$606.10	$7,744.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $640.17 / $915.27 / $1,309.75	Facility		$640.17	$915.27	$1,309.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $157.26 / $227.83 / $289.36	Facility	80	$157.26	$227.83	$289.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.08 / $153.63 / $202.55	Facility	AS	$110.08	$153.63	$202.55
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 $3,089.35 / $25,593.60 / $26,542.00	Facility		$3,089.35	$25,593.60	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $151.02 / $1,458.48 / $2,425.91	Facility	AS	$151.02	$1,458.48	$2,425.91