Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $6,700.05 / $10,327.84	Facility		$1,615.00	$6,700.05	$10,327.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,066.86 / $3,066.86 / $4,382.17	Facility		$3,066.86	$3,066.86	$4,382.17
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 $645.36 / $945.84 / $1,432.52	Facility		$645.36	$945.84	$1,432.52
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $164.72 / $231.21 / $291.70	Facility	80	$164.72	$231.21	$291.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.30 / $160.88 / $204.19	Facility	AS	$115.30	$160.88	$204.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,705.84 / $19,913.50 / $26,542.00	Facility		$3,705.84	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $152.63 / $1,134.79 / $1,887.52	Facility	AS	$152.63	$1,134.79	$1,887.52