Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,899.66 / $8,282.45 / $10,266.56	Facility		$4,899.66	$8,282.45	$10,266.56
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,360.38 / $6,360.38 / $6,360.38	Facility	22	$6,360.38	$6,360.38	$6,360.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.53 / $5,541.28 / $9,403.37	Facility		$5,037.53	$5,541.28	$9,403.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $686.68 / $35,600.00	Facility		$0.71	$686.68	$35,600.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $593.22 / $758.80 / $1,087.59	Facility		$593.22	$758.80	$1,087.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $142.01 / $151.80 / $217.52	Facility	80	$142.01	$151.80	$217.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $96.02 / $106.26 / $152.26	Facility	AS	$96.02	$106.26	$152.26
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 $3,951.64 / $13,486.75 / $13,486.75	Facility		$3,951.64	$13,486.75	$13,486.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $133.66 / $1,279.44 / $1,279.44	Facility	AS	$133.66	$1,279.44	$1,279.44