Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.56 / $7,993.00 / $17,555.68	Facility		$1,282.56	$7,993.00	$17,555.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $7,909.12	Facility		$606.10	$606.10	$7,909.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $860.18 / $1,223.52 / $1,706.14	Facility		$860.18	$1,223.52	$1,706.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $207.28 / $289.27 / $388.80	Facility	80	$207.28	$289.27	$388.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.09 / $197.26 / $272.16	Facility	AS	$145.09	$197.26	$272.16
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 $3,256.04 / $26,138.20 / $26,542.00	Facility		$3,256.04	$26,138.20	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $199.35 / $1,489.52 / $2,477.53	Facility	AS	$199.35	$1,489.52	$2,477.53