Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.84 / $7,414.37 / $14,518.04	Facility		$1,031.84	$7,414.37	$14,518.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,168.55	Facility		$606.10	$606.10	$8,168.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $722.72 / $939.54 / $1,317.98	Facility		$722.72	$939.54	$1,317.98
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,313.54 / $1,633.13 / $2,450.02	Facility	50	$1,313.54	$1,633.13	$2,450.02
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $175.14 / $217.75 / $326.67	Facility	80	$175.14	$217.75	$326.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $122.60 / $152.43 / $228.67	Facility	AS	$122.60	$152.43	$228.67
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 $2,806.76 / $26,542.00 / $26,995.60	Facility		$2,806.76	$26,542.00	$26,995.60
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $171.43 / $1,538.37 / $2,558.80	Facility	AS	$171.43	$1,538.37	$2,558.80