Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $3,105.18 / $5,449.00	Facility		$310.39	$3,105.18	$5,449.00
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 $310.39 / $458.50 / $667.57	Facility		$310.39	$458.50	$667.57
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $80.18 / $108.20 / $146.51	Facility	80	$80.18	$108.20	$146.51
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $56.12 / $75.73 / $98.21	Facility	AS	$56.12	$75.73	$98.21
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 $4,198.32 / $4,981.89 / $5,000.00	Facility		$4,198.32	$4,981.89	$5,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $43.78 / $75.92 / $150.72	Facility	AS	$43.78	$75.92	$150.72