Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.11 / $1,849.00 / $12,615.00	Facility		$1,238.11	$1,849.00	$12,615.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $7,725.08	Facility		$852.10	$852.10	$7,725.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,249.64 / $1,579.59 / $2,572.62	Facility		$1,249.64	$1,579.59	$2,572.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $290.00 / $315.92 / $589.83	Facility	80	$290.00	$315.92	$589.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $203.00 / $221.14 / $395.39	Facility	AS	$203.00	$221.14	$395.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,206.24 / $25,530.00 / $26,542.00	Facility		$7,206.24	$25,530.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $291.42 / $1,454.86 / $2,419.88	Facility	AS	$291.42	$1,454.86	$2,419.88