Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.25 / $10,087.00 / $15,301.99	Facility		$1,306.25	$10,087.00	$15,301.99
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 $1,306.25 / $1,817.86 / $2,668.77	Facility		$1,306.25	$1,817.86	$2,668.77
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $2,471.96 / $3,166.50 / $4,624.13	Facility	50	$2,471.96	$3,166.50	$4,624.13
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $329.60 / $422.20 / $616.54	Facility	80	$329.60	$422.20	$616.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $230.72 / $295.54 / $431.59	Facility	AS	$230.72	$295.54	$431.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,719.52 / $10,719.52	Facility		$55.00	$10,719.52	$10,719.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $187.89 / $339.92 / $669.21	Facility	AS	$187.89	$339.92	$669.21