Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.33 / $3,935.40 / $10,034.00	Facility		$806.33	$3,935.40	$10,034.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $8,660.87	Facility		$748.70	$748.70	$8,660.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $604.01 / $1,011.41 / $1,484.00	Facility		$604.01	$1,011.41	$1,484.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $149.00 / $273.01 / $320.82	Facility	80	$149.00	$273.01	$320.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $104.30 / $181.44 / $224.42	Facility	AS	$104.30	$181.44	$224.42
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 $2,844.24 / $3,123.36 / $26,542.00	Facility		$2,844.24	$3,123.36	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $160.04 / $312.33 / $312.33	Facility	AS	$160.04	$312.33	$312.33