Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $5,177.00 / $13,483.43	Facility		$675.00	$5,177.00	$13,483.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,094.75 / $2,094.75 / $2,993.14	Facility		$2,094.75	$2,094.75	$2,993.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $6,025.59	Facility		$395.75	$395.75	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $613.13 / $812.17 / $1,220.77	Facility		$613.13	$812.17	$1,220.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $100.13 / $139.76 / $193.99	Facility	AS	$100.13	$139.76	$193.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,920.10 / $17,381.18 / $19,913.50	Facility		$2,920.10	$17,381.18	$19,913.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $143.15 / $1,134.79 / $1,887.52	Facility	AS	$143.15	$1,134.79	$1,887.52