Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.98 / $1,245.00 / $6,953.60	Facility		$271.98	$1,245.00	$6,953.60
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 $271.98 / $399.93 / $579.48	Facility		$271.98	$399.93	$579.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $70.64 / $93.20 / $128.37	Facility	80	$70.64	$93.20	$128.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $49.45 / $65.23 / $86.05	Facility	AS	$49.45	$65.23	$86.05
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 $601.83 / $2,000.00 / $2,000.00	Facility		$601.83	$2,000.00	$2,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $38.57 / $66.90 / $132.77	Facility	AS	$38.57	$66.90	$132.77