Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $11,525.00 / $11,789.10	Facility		$1,245.00	$11,525.00	$11,789.10
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 $1,105.23 / $1,562.31 / $2,295.38	Facility		$1,105.23	$1,562.31	$2,295.38
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $278.92 / $312.60 / $499.56	Facility	80	$278.92	$312.60	$499.56
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $195.24 / $218.82 / $349.69	Facility	AS	$195.24	$218.82	$349.69
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 / $9,061.08 / $9,061.08	Facility		$55.00	$9,061.08	$9,061.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $158.81 / $287.33 / $565.88	Facility	AS	$158.81	$287.33	$565.88