Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $7,686.00 / $12,763.35	Facility		$1,020.00	$7,686.00	$12,763.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $596.83 / $841.65 / $1,277.80	Facility		$596.83	$841.65	$1,277.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,147.91 / $1,602.39 / $2,023.25	Facility	50	$1,147.91	$1,602.39	$2,023.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $153.05 / $213.65 / $269.77	Facility	80	$153.05	$213.65	$269.77
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.14 / $149.25 / $188.84	Facility	AS	$107.14	$149.25	$188.84
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 $2,848.20 / $19,913.50 / $26,542.00	Facility		$2,848.20	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $139.90 / $1,134.79 / $1,887.52	Facility	AS	$139.90	$1,134.79	$1,887.52