Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.04 / $6,275.87 / $12,175.92	Facility		$716.04	$6,275.87	$12,175.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $16,914.59	Facility		$748.70	$748.70	$16,914.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $716.04 / $1,121.48 / $1,618.25	Facility		$716.04	$1,121.48	$1,618.25
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $209.13 / $265.64 / $323.64	Facility	80	$209.13	$265.64	$323.64
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.65 / $178.36 / $226.56	Facility	AS	$140.65	$178.36	$226.56
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 $2,706.44 / $48,791.16 / $55,899.70	Facility		$2,706.44	$48,791.16	$55,899.70
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $167.26 / $3,185.50 / $5,298.50	Facility	AS	$167.26	$3,185.50	$5,298.50