Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.65 / $2,374.32 / $3,984.05	Facility		$922.65	$2,374.32	$3,984.05
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 $735.96 / $1,101.42 / $1,818.33	Facility		$735.96	$1,101.42	$1,818.33
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $192.09 / $317.00 / $403.80	Facility	80	$192.09	$317.00	$403.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $134.46 / $221.90 / $282.66	Facility	AS	$134.46	$221.90	$282.66
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 $5,500.00 / $11,760.84 / $11,760.84	Facility		$5,500.00	$11,760.84	$11,760.84
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $646.16 / $1,131.72 / $2,231.14	Facility	62	$646.16	$1,131.72	$2,231.14
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $103.39 / $181.08 / $356.98	Facility	AS	$103.39	$181.08	$356.98