Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.37 / $1,270.03 / $10,561.00	Facility		$800.37	$1,270.03	$10,561.00
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 $800.37 / $1,116.00 / $1,808.84	Facility		$800.37	$1,116.00	$1,808.84
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $196.50 / $255.60 / $377.77	Facility	80	$196.50	$255.60	$377.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $137.55 / $178.92 / $264.44	Facility	AS	$137.55	$178.92	$264.44
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 $55.00 / $13,173.44 / $13,173.44	Facility		$55.00	$13,173.44	$13,173.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $115.33 / $205.34 / $410.34	Facility	AS	$115.33	$205.34	$410.34