Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.97 / $6,794.40 / $15,803.75	Facility		$1,203.97	$6,794.40	$15,803.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $7,838.94	Facility		$606.10	$606.10	$7,838.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $749.01 / $1,101.88 / $1,618.91	Facility		$749.01	$1,101.88	$1,618.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $189.47 / $287.00 / $338.55	Facility	80	$189.47	$287.00	$338.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $132.63 / $199.50 / $236.99	Facility	AS	$132.63	$199.50	$236.99
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 $2,864.72 / $25,906.30 / $26,542.00	Facility		$2,864.72	$25,906.30	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $174.81 / $1,476.30 / $2,455.55	Facility	AS	$174.81	$1,476.30	$2,455.55