Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,493.60 / $9,561.00 / $14,882.90	Facility		$4,493.60	$9,561.00	$14,882.90
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $15,160.80 / $15,160.80 / $15,160.80	Facility	62	$15,160.80	$15,160.80	$15,160.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $518.28 / $35,600.00	Facility		$0.71	$518.28	$35,600.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,070.46 / $1,070.46 / $1,070.46	Facility	62	$1,070.46	$1,070.46	$1,070.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.27 / $171.27 / $171.27	Facility	AS	$171.27	$171.27	$171.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,512.95 / $1,997.72 / $2,722.45	Facility		$1,512.95	$1,997.72	$2,722.45
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $390.37 / $399.54 / $561.83	Facility	80	$390.37	$399.54	$561.83
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $243.80 / $279.68 / $393.28	Facility	AS	$243.80	$279.68	$393.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,717.00 / $2,500.00 / $18,665.00	Facility		$1,717.00	$2,500.00	$18,665.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,250.00 / $11,410.96 / $22,189.40	Facility		$3,250.00	$11,410.96	$22,189.40
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,112.55 / $13,156.44 / $13,156.44	Facility	62	$2,112.55	$13,156.44	$13,156.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $338.01 / $2,105.03 / $2,105.03	Facility	AS	$338.01	$2,105.03	$2,105.03