Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.88 / $2,421.75 / $5,449.00	Facility		$732.88	$2,421.75	$5,449.00
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 $732.89 / $1,042.00 / $1,596.68	Facility		$732.89	$1,042.00	$1,596.68
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $190.94 / $257.80 / $345.92	Facility	80	$190.94	$257.80	$345.92
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.66 / $179.26 / $231.89	Facility	AS	$133.66	$179.26	$231.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $14,893.00 / $22,265.00	Facility		$4,015.00	$14,893.00	$22,265.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $11,763.36 / $11,763.36	Facility		$5,000.00	$11,763.36	$11,763.36
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $103.39 / $180.10 / $356.45	Facility	AS	$103.39	$180.10	$356.45