Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.01 / $903.00 / $7,362.00	Facility		$350.01	$903.00	$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 $350.01 / $468.00 / $765.49	Facility		$350.01	$468.00	$765.49
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $91.97 / $93.60 / $165.20	Facility	80	$91.97	$93.60	$165.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $64.38 / $65.52 / $110.74	Facility	AS	$64.38	$65.52	$110.74
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 / $1,175.25 / $1,709.10	Facility		$55.00	$1,175.25	$1,709.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $49.46 / $86.91 / $170.91	Facility	AS	$49.46	$86.91	$170.91