Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.95 / $3,259.50 / $7,278.00	Facility		$581.95	$3,259.50	$7,278.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $1,457.61 / $1,478.88	Facility		$1,457.61	$1,457.61	$1,478.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $1,587.44	Facility		$530.04	$530.04	$1,587.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $581.95 / $673.43 / $1,157.70	Facility		$581.95	$673.43	$1,157.70
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.62 / $94.28 / $192.28	Facility	AS	$88.62	$94.28	$192.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,791.40 / $5,246.20 / $16,394.00	Facility		$2,791.40	$5,246.20	$16,394.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $135.41 / $298.95 / $497.27	Facility	AS	$135.41	$298.95	$497.27