Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $7,535.00 / $14,664.18	Facility		$1,020.00	$7,535.00	$14,664.18
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 $738.21 / $1,035.29 / $1,495.75	Facility		$738.21	$1,035.29	$1,495.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $183.96 / $251.20 / $333.67	Facility	80	$183.96	$251.20	$333.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.77 / $175.84 / $233.57	Facility	AS	$128.77	$175.84	$233.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,870.00 / $22,780.00	Facility		$4,015.00	$15,870.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $17,381.18 / $19,913.50	Facility		$2,000.00	$17,381.18	$19,913.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.35 / $1,134.79 / $1,887.52	Facility	AS	$172.35	$1,134.79	$1,887.52