Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $8,977.00 / $13,859.01	Facility		$1,245.00	$8,977.00	$13,859.01
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 $1,166.19 / $1,626.11 / $2,364.48	Facility		$1,166.19	$1,626.11	$2,364.48
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $294.31 / $356.80 / $527.12	Facility	80	$294.31	$356.80	$527.12
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $206.02 / $249.76 / $368.98	Facility	AS	$206.02	$249.76	$368.98
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 $55.00 / $9,557.79 / $9,557.79	Facility		$55.00	$9,557.79	$9,557.79
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $167.54 / $303.14 / $596.48	Facility	AS	$167.54	$303.14	$596.48