Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,251.41 / $12,615.00	Facility		$1,410.00	$2,251.41	$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 $1,469.98 / $1,799.98 / $2,922.65	Facility		$1,469.98	$1,799.98	$2,922.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $343.40 / $360.00 / $693.83	Facility	80	$343.40	$360.00	$693.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $240.38 / $252.00 / $465.10	Facility	AS	$240.38	$252.00	$465.10
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 / $15,540.57 / $15,540.57	Facility		$55.00	$15,540.57	$15,540.57
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,323.19 / $2,355.23 / $4,698.67	Facility	62	$1,323.19	$2,355.23	$4,698.67
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $211.71 / $376.84 / $751.79	Facility	AS	$211.71	$376.84	$751.79