Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.17 / $4,148.00 / $13,540.20	Facility		$773.17	$4,148.00	$13,540.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $530.04 / $7,820.23	Facility		$530.04	$530.04	$7,820.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $635.96 / $933.33 / $1,592.00	Facility		$635.96	$933.33	$1,592.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $165.01 / $237.38 / $318.39	Facility	80	$165.01	$237.38	$318.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $114.52 / $161.13 / $222.88	Facility	AS	$114.52	$161.13	$222.88
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 $2,439.00 / $22,557.93 / $25,844.45	Facility		$2,439.00	$22,557.93	$25,844.45
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $149.93 / $1,472.78 / $2,449.69	Facility	AS	$149.93	$1,472.78	$2,449.69