Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $7,636.94 / $13,050.76	Facility		$1,410.00	$7,636.94	$13,050.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,807.46 / $6,807.46 / $6,906.79	Facility		$6,807.46	$6,807.46	$6,906.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $6,025.59 / $13,652.00	Facility		$606.10	$6,025.59	$13,652.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,261.16 / $1,765.62 / $2,976.34	Facility		$1,261.16	$1,765.62	$2,976.34
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,374.73 / $3,277.50 / $4,704.00	Facility	50	$2,374.73	$3,277.50	$4,704.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $316.63 / $437.00 / $627.20	Facility	80	$316.63	$437.00	$627.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $221.64 / $305.89 / $439.04	Facility	AS	$221.64	$305.89	$439.04
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 $10,977.75 / $18,000.00 / $19,913.50	Facility		$10,977.75	$18,000.00	$19,913.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $285.30 / $1,134.79 / $1,887.52	Facility	AS	$285.30	$1,134.79	$1,887.52