Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $2,945.19 / $5,655.90	Facility		$162.13	$2,945.19	$5,655.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $242.81 / $355.00	Facility		$162.13	$242.81	$355.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $42.50 / $57.60 / $73.28	Facility	80	$42.50	$57.60	$73.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $29.75 / $40.32 / $51.30	Facility	AS	$29.75	$40.32	$51.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $347.90 / $1,300.00 / $2,000.00	Facility		$347.90	$1,300.00	$2,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $22.96 / $40.35 / $79.38	Facility	AS	$22.96	$40.35	$79.38