Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.15 / $1,319.90 / $8,413.00	Facility		$816.15	$1,319.90	$8,413.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,704.83 / $1,704.83 / $1,729.70	Facility		$1,704.83	$1,704.83	$1,729.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $816.15 / $1,165.53 / $1,926.11	Facility		$816.15	$1,165.53	$1,926.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $142.80 / $177.15 / $302.31	Facility	AS	$142.80	$177.15	$302.31
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 $3,886.72 / $4,289.92 / $26,542.00	Facility		$3,886.72	$4,289.92	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $218.87 / $428.99 / $428.99	Facility	AS	$218.87	$428.99	$428.99