Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.81 / $2,378.94 / $13,764.00	Facility		$1,538.81	$2,378.94	$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 $1,538.81 / $1,889.26 / $3,042.73	Facility		$1,538.81	$1,889.26	$3,042.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $346.20 / $377.85 / $726.32	Facility	80	$346.20	$377.85	$726.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $242.34 / $264.50 / $486.88	Facility	AS	$242.34	$264.50	$486.88
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,453.00 / $28,898.00	Facility		$8,153.00	$21,453.00	$28,898.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,292.54 / $25,292.54	Facility		$55.00	$25,292.54	$25,292.54
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $221.50 / $388.28 / $781.58	Facility	AS	$221.50	$388.28	$781.58