Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.51 / $3,768.70 / $10,034.00	Facility		$728.51	$3,768.70	$10,034.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $728.51 / $1,024.32 / $1,496.27	Facility		$728.51	$1,024.32	$1,496.27
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $184.90 / $258.10 / $329.29	Facility	80	$184.90	$258.10	$329.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.43 / $173.40 / $230.50	Facility	AS	$129.43	$173.40	$230.50
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 $2,787.60 / $19,913.50 / $26,542.00	Facility		$2,787.60	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $171.48 / $1,134.79 / $1,887.52	Facility	AS	$171.48	$1,134.79	$1,887.52