Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.03 / $2,398.75 / $5,047.01	Facility		$384.03	$2,398.75	$5,047.01
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,844.87 / $2,844.87 / $2,844.87	Facility	62	$2,844.87	$2,844.87	$2,844.87
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 $384.03 / $531.62 / $744.28	Facility		$384.03	$531.62	$744.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $106.32 / $106.32 / $181.26	Facility	80	$106.32	$106.32	$181.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $72.06 / $74.43 / $126.88	Facility	AS	$72.06	$74.43	$126.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $6,168.26 / $6,168.26	Facility		$4,000.00	$6,168.26	$6,168.26
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $338.85 / $590.07 / $1,168.08	Facility	62	$338.85	$590.07	$1,168.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $54.22 / $94.41 / $186.89	Facility	AS	$54.22	$94.41	$186.89