Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.37 / $2,169.46 / $13,764.00	Facility		$1,427.37	$2,169.46	$13,764.00
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 $1,427.37 / $1,818.15 / $2,755.42	Facility		$1,427.37	$1,818.15	$2,755.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $314.00 / $426.80 / $673.72	Facility	80	$314.00	$426.80	$673.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $219.80 / $298.48 / $451.62	Facility	AS	$219.80	$298.48	$451.62
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 $2,000.00 / $15,173.82 / $15,173.82	Facility		$2,000.00	$15,173.82	$15,173.82
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $206.62 / $364.79 / $732.95	Facility	AS	$206.62	$364.79	$732.95