Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.74 / $6,363.32 / $10,561.00	Facility		$1,126.74	$6,363.32	$10,561.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $15,132.81	Facility		$748.70	$748.70	$15,132.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $975.75 / $1,388.27 / $2,030.04	Facility		$975.75	$1,388.27	$2,030.04
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $246.47 / $355.00 / $441.04	Facility	80	$246.47	$355.00	$441.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.53 / $243.15 / $308.73	Facility	AS	$172.53	$243.15	$308.73
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 $4,671.05 / $43,651.50 / $50,011.20	Facility		$4,671.05	$43,651.50	$50,011.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $226.33 / $2,849.94 / $4,740.35	Facility	AS	$226.33	$2,849.94	$4,740.35