Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $9,413.89 / $14,528.00	Facility		$1,245.00	$9,413.89	$14,528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,146.90 / $3,390.19 / $5,654.79	Facility		$1,146.90	$3,390.19	$5,654.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,164.49 / $1,688.51 / $2,380.62	Facility		$1,164.49	$1,688.51	$2,380.62
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $325.27 / $387.60 / $472.39	Facility	80	$325.27	$387.60	$472.39
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $191.13 / $258.16 / $325.36	Facility	AS	$191.13	$258.16	$325.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,050.00 / $15,712.00	Facility		$1,461.00	$2,050.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $6,590.82 / $16,547.20 / $26,542.00	Facility		$6,590.82	$16,547.20	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $270.39 / $1,568.44 / $1,568.44	Facility	AS	$270.39	$1,568.44	$1,568.44