Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $8,912.51 / $12,589.25	Facility		$1,659.59	$8,912.51	$12,589.25
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility	62	$15,135.61	$15,135.61	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $35,481.34	Facility		$489.78	$575.44	$35,481.34
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility	22	$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	62	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,090.30	Facility		$1,412.54	$1,819.70	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $8,317.64 / $19,952.62	Facility		$1,737.80	$8,317.64	$19,952.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $22,387.21 / $22,387.21	Facility		$3,235.94	$22,387.21	$22,387.21
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility	62	$13,803.84	$13,803.84	$13,803.84
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72