Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.10 / $1,615.00 / $11,289.60	Facility		$772.10	$1,615.00	$11,289.60
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 $772.10 / $1,123.91 / $1,651.27	Facility		$772.10	$1,123.91	$1,651.27
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,560.78 / $2,176.29 / $2,617.42	Facility	50	$1,560.78	$2,176.29	$2,617.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $208.10 / $290.17 / $348.99	Facility	80	$208.10	$290.17	$348.99
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.66 / $196.56 / $244.29	Facility	AS	$145.66	$196.56	$244.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,255.94 / $5,255.94	Facility		$55.00	$5,255.94	$5,255.94
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $107.86 / $191.46 / $373.55	Facility	AS	$107.86	$191.46	$373.55