Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.09 / $1,881.78 / $12,615.00	Facility		$1,210.09	$1,881.78	$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 $1,210.09 / $1,662.00 / $2,578.96	Facility		$1,210.09	$1,662.00	$2,578.96
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $314.32 / $332.40 / $571.16	Facility	80	$314.32	$332.40	$571.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $220.02 / $232.68 / $382.88	Facility	AS	$220.02	$232.68	$382.88
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 $2,000.00 / $8,428.08 / $8,428.08	Facility		$2,000.00	$8,428.08	$8,428.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.55 / $311.20 / $609.75	Facility	AS	$172.55	$311.20	$609.75