Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $2,422.02 / $8,413.00	Facility		$1,338.00	$2,422.02	$8,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,555.97 / $1,979.21 / $3,182.46	Facility		$1,555.97	$1,979.21	$3,182.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $363.20 / $395.84 / $703.30	Facility	80	$363.20	$395.84	$703.30
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $254.24 / $277.08 / $492.31	Facility	AS	$254.24	$277.08	$492.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,964.56 / $19,964.56	Facility		$55.00	$19,964.56	$19,964.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $222.87 / $402.19 / $789.44	Facility	AS	$222.87	$402.19	$789.44