Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.23 / $1,849.00 / $12,615.00	Facility		$1,172.23	$1,849.00	$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 $1,172.23 / $1,481.02 / $2,400.30	Facility		$1,172.23	$1,481.02	$2,400.30
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $274.20 / $296.20 / $529.85	Facility	80	$274.20	$296.20	$529.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $191.94 / $207.34 / $370.89	Facility	AS	$191.94	$207.34	$370.89
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 / $10,997.36 / $10,997.36	Facility		$55.00	$10,997.36	$10,997.36
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $168.66 / $305.14 / $600.86	Facility	AS	$168.66	$305.14	$600.86