Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.47 / $10,544.00 / $12,645.54	Facility		$754.47	$10,544.00	$12,645.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,901.59 / $3,191.74 / $5,416.29	Facility		$2,901.59	$3,191.74	$5,416.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $657.10 / $3,323.92 / $5,544.25	Facility		$657.10	$3,323.92	$5,544.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.17 / $65.17 / $65.17	Facility	AS	$65.17	$65.17	$65.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.15 / $701.00 / $1,032.17	Facility		$569.15	$701.00	$1,032.17
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $133.75 / $140.19 / $207.06	Facility	80	$133.75	$140.19	$207.06
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $92.12 / $98.14 / $144.94	Facility	AS	$92.12	$98.14	$144.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,717.00 / $2,500.00 / $18,665.00	Facility		$1,717.00	$2,500.00	$18,665.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,342.32 / $16,223.75 / $26,542.00	Facility		$4,342.32	$16,223.75	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $128.88 / $1,537.78 / $1,537.78	Facility	AS	$128.88	$1,537.78	$1,537.78