Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.43 / $6,326.27 / $10,034.00	Facility		$829.43	$6,326.27	$10,034.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,774.16 / $3,774.16 / $5,392.80	Facility		$3,774.16	$3,774.16	$5,392.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $16,214.25	Facility		$748.70	$748.70	$16,214.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $759.97 / $1,115.20 / $1,662.18	Facility		$759.97	$1,115.20	$1,662.18
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $198.23 / $300.20 / $343.51	Facility	80	$198.23	$300.20	$343.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.76 / $197.60 / $240.45	Facility	AS	$138.76	$197.60	$240.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,910.40 / $46,770.99 / $53,585.20	Facility		$2,910.40	$46,770.99	$53,585.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $179.10 / $3,053.61 / $5,079.12	Facility	AS	$179.10	$3,053.61	$5,079.12