Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $8,814.69 / $19,689.82	Facility		$1,245.00	$8,814.69	$19,689.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,711.79 / $13,755.60 / $13,755.60	Facility	50	$3,711.79	$13,755.60	$13,755.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,874.92 / $5,874.92 / $19,357.00	Facility		$5,874.92	$5,874.92	$19,357.00
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 $1,127.76 / $1,596.56 / $2,548.73	Facility		$1,127.76	$1,596.56	$2,548.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,057.63 / $2,721.00 / $4,071.50	Facility	50	$2,057.63	$2,721.00	$4,071.50
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $274.35 / $362.80 / $542.87	Facility	80	$274.35	$362.80	$542.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $192.05 / $253.96 / $380.01	Facility	AS	$192.05	$253.96	$380.01
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 $5,362.25 / $44,963.33 / $51,514.20	Facility		$5,362.25	$44,963.33	$51,514.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $259.27 / $2,935.59 / $4,882.81	Facility	AS	$259.27	$2,935.59	$4,882.81