Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.74 / $2,032.59 / $13,764.00	Facility		$1,272.74	$2,032.59	$13,764.00
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 $1,272.74 / $1,613.00 / $2,599.36	Facility		$1,272.74	$1,613.00	$2,599.36
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $303.20 / $322.60 / $575.28	Facility	80	$303.20	$322.60	$575.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $212.24 / $225.82 / $402.69	Facility	AS	$212.24	$225.82	$402.69
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,453.00 / $28,898.00	Facility		$8,153.00	$21,453.00	$28,898.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $20,745.75 / $20,745.75	Facility		$5,000.00	$20,745.75	$20,745.75
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $181.88 / $322.06 / $640.64	Facility	AS	$181.88	$322.06	$640.64