Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $9,902.79 / $22,179.15	Facility		$1,615.00	$9,902.79	$22,179.15
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 $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,701.15 / $2,246.83 / $3,061.58	Facility		$1,701.15	$2,246.83	$3,061.58
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $439.04 / $449.37 / $631.87	Facility	80	$439.04	$449.37	$631.87
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $274.24 / $314.56 / $442.31	Facility	AS	$274.24	$314.56	$442.31
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 $4,100.00 / $12,863.04 / $22,189.40	Facility		$4,100.00	$12,863.04	$22,189.40
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $2,382.09 / $13,156.44 / $13,156.44	Facility	62	$2,382.09	$13,156.44	$13,156.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $381.13 / $2,105.03 / $2,105.03	Facility	AS	$381.13	$2,105.03	$2,105.03