Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.65 / $2,118.00 / $13,764.00	Facility		$1,326.65	$2,118.00	$13,764.00
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 $1,260.80 / $1,379.00 / $2,341.03	Facility		$1,260.80	$1,379.00	$2,341.03
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,891.20 / $2,068.50 / $4,696.34	Facility	50	$1,891.20	$2,068.50	$4,696.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $252.16 / $275.80 / $626.17	Facility	80	$252.16	$275.80	$626.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $176.51 / $193.06 / $419.75	Facility	AS	$176.51	$193.06	$419.75
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,923.18 / $13,923.18	Facility		$55.00	$13,923.18	$13,923.18
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $189.88 / $336.38 / $668.99	Facility	AS	$189.88	$336.38	$668.99