Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.04 / $2,588.50 / $8,969.56	Facility		$791.04	$2,588.50	$8,969.56
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 $791.04 / $1,129.00 / $1,787.75	Facility		$791.04	$1,129.00	$1,787.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $204.74 / $273.20 / $373.37	Facility	80	$204.74	$273.20	$373.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $143.32 / $191.24 / $261.36	Facility	AS	$143.32	$191.24	$261.36
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 $5,000.00 / $12,730.48 / $12,730.48	Facility		$5,000.00	$12,730.48	$12,730.48
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $699.35 / $1,219.83 / $2,412.19	Facility	62	$699.35	$1,219.83	$2,412.19
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $111.90 / $195.17 / $385.95	Facility	AS	$111.90	$195.17	$385.95