Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,930.05 / $10,663.15 / $15,818.51	Facility		$1,930.05	$10,663.15	$15,818.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,725.95 / $2,998.55 / $5,088.43	Facility		$2,725.95	$2,998.55	$5,088.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $3,394.57 / $5,654.79	Facility		$1,182.48	$3,394.57	$5,654.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.51 / $1,453.91 / $2,074.30	Facility		$1,038.51	$1,453.91	$2,074.30
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $283.89 / $336.62 / $404.90	Facility	80	$283.89	$336.62	$404.90
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $170.57 / $231.70 / $277.08	Facility	AS	$170.57	$231.70	$277.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,081.00 / $15,712.00	Facility		$1,461.00	$2,081.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,888.46 / $16,547.20 / $26,542.00	Facility		$5,888.46	$16,547.20	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $241.69 / $1,568.44 / $1,568.44	Facility	AS	$241.69	$1,568.44	$1,568.44