Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.56 / $1,865.40 / $12,615.00	Facility		$1,199.56	$1,865.40	$12,615.00
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 $1,199.56 / $1,647.50 / $2,387.67	Facility		$1,199.56	$1,647.50	$2,387.67
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $302.79 / $385.60 / $566.19	Facility	80	$302.79	$385.60	$566.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $211.95 / $269.92 / $379.54	Facility	AS	$211.95	$269.92	$379.54
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 / $9,832.62 / $9,832.62	Facility		$55.00	$9,832.62	$9,832.62
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.37 / $311.73 / $613.33	Facility	AS	$172.37	$311.73	$613.33