Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.28 / $1,832.65 / $10,690.00	Facility		$485.28	$1,832.65	$10,690.00
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 $1,832.65 / $2,547.11 / $3,867.01	Facility		$1,832.65	$2,547.11	$3,867.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $465.40 / $621.40 / $865.01	Facility	80	$465.40	$621.40	$865.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $325.77 / $434.98 / $579.85	Facility	AS	$325.77	$434.98	$579.85
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 $55.00 / $27,742.39 / $27,742.39	Facility		$55.00	$27,742.39	$27,742.39
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $262.17 / $472.53 / $925.85	Facility	AS	$262.17	$472.53	$925.85