Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $7,993.00 / $11,547.43	Facility		$1,245.00	$7,993.00	$11,547.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $7,761.48	Facility		$606.10	$606.10	$7,761.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $967.06 / $1,380.12 / $1,955.71	Facility		$967.06	$1,380.12	$1,955.71
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.94 / $342.60 / $437.11	Facility	80	$235.94	$342.60	$437.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $165.16 / $239.82 / $305.98	Facility	AS	$165.16	$239.82	$305.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,317.00 / $13,946.00 / $21,454.00	Facility		$4,317.00	$13,946.00	$21,454.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,668.84 / $25,650.30 / $26,542.00	Facility		$3,668.84	$25,650.30	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $224.18 / $1,461.71 / $2,431.29	Facility	AS	$224.18	$1,461.71	$2,431.29