Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.65 / $1,799.10 / $6,953.60	Facility		$739.65	$1,799.10	$6,953.60
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 $739.65 / $1,103.50 / $1,833.00	Facility		$739.65	$1,103.50	$1,833.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $192.47 / $318.00 / $431.11	Facility	80	$192.47	$318.00	$431.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $134.72 / $222.60 / $301.77	Facility	AS	$134.72	$222.60	$301.77
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,355.00	Facility		$117.00	$896.00	$2,355.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,500.00 / $11,883.48 / $11,883.48	Facility		$5,500.00	$11,883.48	$11,883.48
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $652.83 / $1,139.24 / $2,252.01	Facility	62	$652.83	$1,139.24	$2,252.01
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $104.45 / $182.28 / $360.32	Facility	AS	$104.45	$182.28	$360.32