Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.79 / $3,457.50 / $7,520.56	Facility		$838.79	$3,457.50	$7,520.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $8,207.01	Facility		$530.04	$530.04	$8,207.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $695.25 / $834.30 / $1,251.47	Facility		$695.25	$834.30	$1,251.47
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $154.80 / $187.00 / $314.25	Facility	80	$154.80	$187.00	$314.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.36 / $130.90 / $219.98	Facility	AS	$108.36	$130.90	$219.98
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 $2,635.92 / $23,673.62 / $27,122.70	Facility		$2,635.92	$23,673.62	$27,122.70
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $161.94 / $1,545.62 / $2,570.85	Facility	AS	$161.94	$1,545.62	$2,570.85