Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.43 / $16,147.56 / $22,078.88	Facility		$1,201.43	$16,147.56	$22,078.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $14,868.57	Facility		$748.70	$748.70	$14,868.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $862.68 / $1,198.99 / $1,761.58	Facility		$862.68	$1,198.99	$1,761.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $213.93 / $302.60 / $389.93	Facility	80	$213.93	$302.60	$389.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $149.75 / $208.84 / $272.95	Facility	AS	$149.75	$208.84	$272.95
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 $4,964.28 / $42,889.26 / $49,137.95	Facility		$4,964.28	$42,889.26	$49,137.95
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $201.30 / $2,800.18 / $4,657.58	Facility	AS	$201.30	$2,800.18	$4,657.58