Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.47 / $3,926.59 / $8,270.81	Facility		$550.47	$3,926.59	$8,270.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $550.47 / $827.93 / $1,244.06	Facility		$550.47	$827.93	$1,244.06
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $143.01 / $193.40 / $259.39	Facility	80	$143.01	$193.40	$259.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $100.11 / $135.38 / $181.58	Facility	AS	$100.11	$135.38	$181.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,095.16 / $8,957.00 / $26,542.00	Facility		$2,095.16	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $129.44 / $510.42 / $849.00	Facility	AS	$129.44	$510.42	$849.00