Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,245.92 / $12,615.00	Facility		$1,410.00	$2,245.92	$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 $1,469.51 / $1,787.51 / $2,898.45	Facility		$1,469.51	$1,787.51	$2,898.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $338.80 / $357.50 / $664.22	Facility	80	$338.80	$357.50	$664.22
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $237.16 / $250.25 / $464.95	Facility	AS	$237.16	$250.25	$464.95
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 / $19,017.34 / $19,017.34	Facility		$55.00	$19,017.34	$19,017.34
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $211.96 / $377.10 / $752.68	Facility	AS	$211.96	$377.10	$752.68