Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.97 / $3,926.59 / $10,753.33	Facility		$624.97	$3,926.59	$10,753.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,094.75 / $2,094.75 / $2,993.14	Facility		$2,094.75	$2,094.75	$2,993.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $7,860.77	Facility		$530.04	$530.04	$7,860.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $624.97 / $933.61 / $1,357.00	Facility		$624.97	$933.61	$1,357.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $161.41 / $250.00 / $282.49	Facility	80	$161.41	$250.00	$282.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $112.99 / $175.00 / $197.74	Facility	AS	$112.99	$175.00	$197.74
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 $2,389.04 / $22,674.85 / $25,978.45	Facility		$2,389.04	$22,674.85	$25,978.45
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $147.24 / $1,480.41 / $2,462.39	Facility	AS	$147.24	$1,480.41	$2,462.39