Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.86 / $10,980.00 / $21,354.40	Facility		$1,831.86	$10,980.00	$21,354.40
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $28,967.48 / $28,967.48 / $28,967.48	Facility	22	$28,967.48	$28,967.48	$28,967.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,760.00 / $11,760.00 / $21,777.00	Facility		$11,760.00	$11,760.00	$21,777.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $18,362.00	Facility		$606.10	$606.10	$18,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,631.52 / $2,089.40 / $3,850.39	Facility		$1,631.52	$2,089.40	$3,850.39
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $390.60 / $417.88 / $865.49	Facility	80	$390.60	$417.88	$865.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $273.42 / $292.52 / $605.79	Facility	AS	$273.42	$292.52	$605.79
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 $55.00 / $17,119.08 / $17,119.08	Facility		$55.00	$17,119.08	$17,119.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $233.60 / $421.43 / $826.78	Facility	AS	$233.60	$421.43	$826.78