Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.04 / $2,838.96 / $10,034.00	Facility		$477.04	$2,838.96	$10,034.00
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 $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $417.36 / $688.55 / $1,040.03	Facility		$417.36	$688.55	$1,040.03
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $126.00 / $186.80 / $217.43	Facility	80	$126.00	$186.80	$217.43
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.04 / $130.04 / $152.19	Facility	AS	$89.04	$130.04	$152.19
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 $1,971.04 / $2,174.55 / $26,542.00	Facility		$1,971.04	$2,174.55	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $111.03 / $217.46 / $217.46	Facility	AS	$111.03	$217.46	$217.46