Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.88 / $2,260.79 / $11,124.00	Facility		$1,464.88	$2,260.79	$11,124.00
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 $1,464.88 / $1,784.43 / $2,896.63	Facility		$1,464.88	$1,784.43	$2,896.63
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $348.40 / $356.89 / $691.42	Facility	80	$348.40	$356.89	$691.42
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $243.88 / $249.82 / $463.49	Facility	AS	$243.88	$249.82	$463.49
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 / $18,864.66 / $18,864.66	Facility		$2,000.00	$18,864.66	$18,864.66
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $210.29 / $369.77 / $742.52	Facility	AS	$210.29	$369.77	$742.52