Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.15 / $903.00 / $7,362.00	Facility		$349.15	$903.00	$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 $349.15 / $467.00 / $789.08	Facility		$349.15	$467.00	$789.08
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $91.34 / $93.40 / $164.80	Facility	80	$91.34	$93.40	$164.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $63.94 / $65.38 / $110.47	Facility	AS	$63.94	$65.38	$110.47
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 $4,682.85 / $5,614.28 / $5,614.28	Facility		$4,682.85	$5,614.28	$5,614.28
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $308.47 / $541.99 / $1,066.49	Facility	62	$308.47	$541.99	$1,066.49
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $49.36 / $86.72 / $170.64	Facility	AS	$49.36	$86.72	$170.64