Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.86 / $1,969.98 / $13,764.00	Facility		$1,240.86	$1,969.98	$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 $1,240.86 / $1,690.43 / $2,443.81	Facility		$1,240.86	$1,690.43	$2,443.81
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $302.49 / $369.40 / $560.87	Facility	80	$302.49	$369.40	$560.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $211.74 / $258.58 / $392.61	Facility	AS	$211.74	$258.58	$392.61
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 $5,000.00 / $16,099.93 / $16,099.93	Facility		$5,000.00	$16,099.93	$16,099.93
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,121.08 / $1,983.87 / $3,980.62	Facility	62	$1,121.08	$1,983.87	$3,980.62
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $179.38 / $317.42 / $636.90	Facility	AS	$179.38	$317.42	$636.90