Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.34 / $9,744.25 / $18,082.97	Facility		$1,461.34	$9,744.25	$18,082.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $25,530.51	Facility		$606.10	$606.10	$25,530.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $942.88 / $1,221.42 / $2,130.91	Facility		$942.88	$1,221.42	$2,130.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $240.80 / $244.28 / $431.20	Facility	80	$240.80	$244.28	$431.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.56 / $171.00 / $301.83	Facility	AS	$168.56	$171.00	$301.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $73,644.31 / $84,373.80	Facility		$55.00	$73,644.31	$84,373.80
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $219.01 / $4,808.13 / $7,997.44	Facility	AS	$219.01	$4,808.13	$7,997.44