Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $3,670.53 / $5,449.00	Facility		$324.58	$3,670.53	$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 $324.58 / $464.10 / $613.28	Facility		$324.58	$464.10	$613.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $92.82 / $92.82 / $153.19	Facility	80	$92.82	$92.82	$153.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $63.41 / $64.97 / $107.24	Facility	AS	$63.41	$64.97	$107.24
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $710.63 / $1,580.61 / $5,000.00	Facility		$710.63	$1,580.61	$5,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $45.87 / $79.81 / $158.06	Facility	AS	$45.87	$79.81	$158.06