Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.38 / $2,814.83 / $28,359.68	Facility		$1,545.38	$2,814.83	$28,359.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $24,090.78	Facility		$606.10	$606.10	$24,090.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,545.38 / $1,970.00 / $3,647.10	Facility		$1,545.38	$1,970.00	$3,647.10
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $390.49 / $394.00 / $771.58	Facility	80	$390.49	$394.00	$771.58
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $251.51 / $275.80 / $540.11	Facility	AS	$251.51	$275.80	$540.11
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 $13,361.40 / $69,491.31 / $79,615.70	Facility		$13,361.40	$69,491.31	$79,615.70
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,172.83 / $28,356.17 / $47,165.25	Facility	62	$2,172.83	$28,356.17	$47,165.25
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $347.65 / $4,536.99 / $7,546.44	Facility	AS	$347.65	$4,536.99	$7,546.44