Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $1,918.50 / $7,869.96	Facility		$378.98	$1,918.50	$7,869.96
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 $378.98 / $565.47 / $856.49	Facility		$378.98	$565.47	$856.49
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $98.60 / $133.40 / $178.88	Facility	80	$98.60	$133.40	$178.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $69.02 / $93.38 / $125.21	Facility	AS	$69.02	$93.38	$125.21
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 $5,000.00 / $6,093.64 / $6,093.64	Facility		$5,000.00	$6,093.64	$6,093.64
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $334.76 / $583.51 / $1,154.33	Facility	62	$334.76	$583.51	$1,154.33
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $53.56 / $93.36 / $184.69	Facility	AS	$53.56	$93.36	$184.69