Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.09 / $1,506.82 / $7,362.00	Facility		$956.09	$1,506.82	$7,362.00
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 $956.09 / $1,280.00 / $2,100.65	Facility		$956.09	$1,280.00	$2,100.65
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $249.76 / $256.00 / $451.27	Facility	80	$249.76	$256.00	$451.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $174.83 / $179.20 / $302.51	Facility	AS	$174.83	$179.20	$302.51
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 / $15,396.22 / $15,396.22	Facility		$5,000.00	$15,396.22	$15,396.22
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $135.35 / $237.65 / $467.81	Facility	AS	$135.35	$237.65	$467.81