Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $689.00 / $7,362.00	Facility		$0.57	$689.00	$7,362.00
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 $67.52 / $91.34 / $122.64	Facility		$67.52	$91.34	$122.64
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $134.30 / $137.01 / $239.02	Facility	50	$134.30	$137.01	$239.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $18.27 / $18.27 / $31.87	Facility	80	$18.27	$18.27	$31.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $12.53 / $12.79 / $22.31	Facility	AS	$12.53	$12.79	$22.31
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $168.47 / $331.84	Facility		$55.00	$168.47	$331.84
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $9.60 / $16.85 / $33.18	Facility	AS	$9.60	$16.85	$33.18