Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.93 / $6,350.67 / $11,986.00	Facility		$786.93	$6,350.67	$11,986.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $2,710.28	Facility		$852.10	$852.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.57 / $1,115.16 / $1,626.35	Facility		$812.57	$1,115.16	$1,626.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $199.83 / $251.80 / $367.28	Facility	80	$199.83	$251.80	$367.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.88 / $176.26 / $257.10	Facility	AS	$139.88	$176.26	$257.10
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 $3,015.76 / $8,957.00 / $26,542.00	Facility		$3,015.76	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $184.64 / $510.42 / $849.00	Facility	AS	$184.64	$510.42	$849.00