Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.35 / $1,245.00 / $13,764.00	Facility		$717.35	$1,245.00	$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 $717.35 / $897.00 / $1,422.86	Facility		$717.35	$897.00	$1,422.86
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $174.15 / $179.40 / $338.59	Facility	80	$174.15	$179.40	$338.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $121.90 / $125.58 / $226.97	Facility	AS	$121.90	$125.58	$226.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,317.00 / $13,946.00 / $21,454.00	Facility		$4,317.00	$13,946.00	$21,454.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $11,808.72 / $11,808.72	Facility		$5,000.00	$11,808.72	$11,808.72
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $103.34 / $184.06 / $368.52	Facility	AS	$103.34	$184.06	$368.52