Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.36 / $3,211.96 / $10,924.00	Facility		$717.36	$3,211.96	$10,924.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $717.36 / $992.00 / $1,436.10	Facility		$717.36	$992.00	$1,436.10
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,331.15 / $1,920.00 / $2,431.85	Facility	50	$1,331.15	$1,920.00	$2,431.85
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $177.49 / $256.00 / $324.25	Facility	80	$177.49	$256.00	$324.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $124.24 / $165.05 / $226.97	Facility	AS	$124.24	$165.05	$226.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,452.15 / $8,957.00 / $26,542.00	Facility		$3,452.15	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $167.89 / $510.42 / $849.00	Facility	AS	$167.89	$510.42	$849.00