Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.86 / $2,530.91 / $7,968.00	Facility		$627.86	$2,530.91	$7,968.00
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 $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $627.86 / $868.38 / $1,276.25	Facility		$627.86	$868.38	$1,276.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $157.13 / $224.69 / $296.35	Facility	80	$157.13	$224.69	$296.35
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.00 / $153.50 / $198.65	Facility	AS	$110.00	$153.50	$198.65
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 $2,396.04 / $19,913.50 / $26,542.00	Facility		$2,396.04	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $148.52 / $1,134.79 / $1,887.52	Facility	AS	$148.52	$1,134.79	$1,887.52