Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,061.41 / $8,969.56 / $13,077.00	Facility		$2,061.41	$8,969.56	$13,077.00
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 $2,061.41 / $2,967.98 / $4,487.59	Facility		$2,061.41	$2,967.98	$4,487.59
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $521.61 / $678.00 / $972.99	Facility	80	$521.61	$678.00	$972.99
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $365.13 / $474.60 / $681.09	Facility	AS	$365.13	$474.60	$681.09
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,398.96 / $33,398.96	Facility		$55.00	$33,398.96	$33,398.96
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $293.00 / $520.80 / $1,029.95	Facility	AS	$293.00	$520.80	$1,029.95