Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,639.64 / $12,615.00	Facility		$1,615.00	$3,639.64	$12,615.00
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 $2,333.90 / $3,048.33 / $4,354.93	Facility		$2,333.90	$3,048.33	$4,354.93
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $585.79 / $716.14 / $1,101.59	Facility	80	$585.79	$716.14	$1,101.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $410.06 / $501.30 / $738.45	Facility	AS	$410.06	$501.30	$738.45
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 $55.00 / $24,355.26 / $24,355.26	Facility		$55.00	$24,355.26	$24,355.26
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,077.63 / $3,675.87 / $7,281.81	Facility	62	$2,077.63	$3,675.87	$7,281.81
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $332.42 / $588.14 / $1,165.08	Facility	AS	$332.42	$588.14	$1,165.08