Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.43 / $2,101.37 / $7,278.00	Facility		$461.43	$2,101.37	$7,278.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.49 / $1,425.49 / $2,036.84	Facility		$1,425.49	$1,425.49	$2,036.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $6,025.59	Facility		$530.04	$530.04	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $461.43 / $705.31 / $1,088.97	Facility		$461.43	$705.31	$1,088.97
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $121.50 / $175.80 / $217.79	Facility	80	$121.50	$175.80	$217.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $85.05 / $121.90 / $152.46	Facility	AS	$85.05	$121.90	$152.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,768.52 / $17,381.18 / $19,913.50	Facility		$1,768.52	$17,381.18	$19,913.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $109.90 / $1,134.79 / $1,887.52	Facility	AS	$109.90	$1,134.79	$1,887.52