Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.26 / $8,217.00 / $14,171.83	Facility		$1,380.26	$8,217.00	$14,171.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $15,486.41	Facility		$748.70	$748.70	$15,486.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $864.58 / $1,123.95 / $1,721.31	Facility		$864.58	$1,123.95	$1,721.31
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $215.33 / $259.60 / $390.79	Facility	80	$215.33	$259.60	$390.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $148.26 / $181.72 / $273.55	Facility	AS	$148.26	$181.72	$273.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,979.64 / $44,671.49 / $51,179.80	Facility		$4,979.64	$44,671.49	$51,179.80
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $201.83 / $2,916.54 / $4,851.12	Facility	AS	$201.83	$2,916.54	$4,851.12