Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.22 / $1,615.00 / $12,615.00	Facility		$778.22	$1,615.00	$12,615.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,736.14 / $5,736.14 / $8,196.23	Facility		$5,736.14	$5,736.14	$8,196.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $7,668.41	Facility		$852.10	$852.10	$7,668.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $778.22 / $1,034.41 / $1,552.89	Facility		$778.22	$1,034.41	$1,552.89
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.19 / $178.87 / $246.23	Facility	AS	$128.19	$178.87	$246.23
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 $2,980.00 / $25,342.70 / $26,542.00	Facility		$2,980.00	$25,342.70	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $183.12 / $1,444.18 / $2,402.13	Facility	AS	$183.12	$1,444.18	$2,402.13