Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.38 / $3,602.21 / $12,580.25	Facility		$843.38	$3,602.21	$12,580.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,503.36 / $2,503.36 / $2,539.89	Facility		$2,503.36	$2,503.36	$2,539.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $843.38 / $1,070.00 / $1,670.98	Facility		$843.38	$1,070.00	$1,670.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $141.56 / $149.80 / $266.85	Facility	AS	$141.56	$149.80	$266.85
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 $4,012.70 / $19,913.50 / $26,542.00	Facility		$4,012.70	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $195.84 / $1,134.79 / $1,887.52	Facility	AS	$195.84	$1,134.79	$1,887.52