Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.26 / $9,965.18 / $23,255.05	Facility		$1,277.26	$9,965.18	$23,255.05
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 $1,159.69 / $1,466.49 / $2,377.63	Facility		$1,159.69	$1,466.49	$2,377.63
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $275.60 / $293.30 / $524.17	Facility	80	$275.60	$293.30	$524.17
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $192.92 / $205.31 / $366.93	Facility	AS	$192.92	$205.31	$366.93
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 / $6,804.20 / $6,804.20	Facility		$55.00	$6,804.20	$6,804.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $166.96 / $302.12 / $594.95	Facility	AS	$166.96	$302.12	$594.95