Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $242.12 / $11,270.00	Facility		$154.88	$242.12	$11,270.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $515.00 / $606.10	Facility		$179.16	$515.00	$606.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $217.73 / $278.51	Facility		$154.88	$217.73	$278.51
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $42.41 / $43.55 / $58.07	Facility	80	$42.41	$43.55	$58.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $24.80 / $30.48 / $40.65	Facility	AS	$24.80	$30.48	$40.65
United Facility/Professional Facility Modifier Low / Median / High Price $301.00 / $661.00 / $4,877.00	Facility		$301.00	$661.00	$4,877.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $378.13 / $732.07 / $2,800.00	Facility		$378.13	$732.07	$2,800.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $34.72 / $73.20 / $73.20	Facility	AS	$34.72	$73.20	$73.20