Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.87 / $8,562.26 / $11,986.00	Facility		$1,396.87	$8,562.26	$11,986.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $825.38 / $3,390.19 / $5,654.79	Facility		$825.38	$3,390.19	$5,654.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $1,248.89 / $1,906.74	Facility		$984.00	$1,248.89	$1,906.74
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $197.41 / $242.80 / $381.35	Facility	80	$197.41	$242.80	$381.35
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.77 / $169.72 / $266.94	Facility	AS	$139.77	$169.72	$266.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,081.00 / $15,712.00	Facility		$1,461.00	$2,081.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,804.94 / $16,547.20 / $26,542.00	Facility		$5,804.94	$16,547.20	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $241.78 / $1,568.44 / $1,568.44	Facility	AS	$241.78	$1,568.44	$1,568.44