Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.59 / $1,397.15 / $7,968.00	Facility		$882.59	$1,397.15	$7,968.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $882.59 / $1,211.36 / $1,747.64	Facility		$882.59	$1,211.36	$1,747.64
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.25 / $308.39 / $398.93	Facility	80	$235.25	$308.39	$398.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $160.02 / $196.98 / $279.25	Facility	AS	$160.02	$196.98	$279.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,917.00 / $20,562.00 / $28,286.00	Facility		$8,917.00	$20,562.00	$28,286.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,030.00 / $5,030.00	Facility		$55.00	$5,030.00	$5,030.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $123.85 / $220.18 / $429.56	Facility	AS	$123.85	$220.18	$429.56