Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.43 / $3,875.00 / $10,690.00	Facility		$888.43	$3,875.00	$10,690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $2,710.28	Facility		$852.10	$852.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $888.43 / $1,136.72 / $1,854.34	Facility		$888.43	$1,136.72	$1,854.34
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $207.07 / $285.00 / $419.34	Facility	80	$207.07	$285.00	$419.34
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $144.94 / $195.44 / $281.10	Facility	AS	$144.94	$195.44	$281.10
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 $5,058.42 / $8,957.00 / $26,542.00	Facility		$5,058.42	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $205.60 / $510.42 / $849.00	Facility	AS	$205.60	$510.42	$849.00