Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.27 / $2,262.23 / $13,764.00	Facility		$1,486.27	$2,262.23	$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 $1,486.27 / $1,775.09 / $2,850.90	Facility		$1,486.27	$1,775.09	$2,850.90
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $333.00 / $355.02 / $701.52	Facility	80	$333.00	$355.02	$701.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $233.10 / $248.51 / $470.26	Facility	AS	$233.10	$248.51	$470.26
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 / $19,253.63 / $19,253.63	Facility		$2,000.00	$19,253.63	$19,253.63
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $214.54 / $378.42 / $760.25	Facility	AS	$214.54	$378.42	$760.25