Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.02 / $2,794.34 / $5,449.00	Facility		$361.02	$2,794.34	$5,449.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $2,710.28	Facility		$395.75	$395.75	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $361.02 / $529.00 / $871.00	Facility		$361.02	$529.00	$871.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $93.50 / $135.37 / $174.20	Facility	80	$93.50	$135.37	$174.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $65.45 / $92.19 / $121.94	Facility	AS	$65.45	$92.19	$121.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,393.40 / $8,957.00 / $12,000.00	Facility		$1,393.40	$8,957.00	$12,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $86.50 / $510.42 / $849.00	Facility	AS	$86.50	$510.42	$849.00