Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $5,479.59 / $11,270.00	Facility		$1,615.00	$5,479.59	$11,270.00
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 $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,458.75 / $4,866.74 / $5,879.88	Facility		$3,458.75	$4,866.74	$5,879.88
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $557.35 / $681.34 / $875.05	Facility	AS	$557.35	$681.34	$875.05
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 $2,800.00 / $52,146.24 / $62,849.92	Facility		$2,800.00	$52,146.24	$62,849.92
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $4,854.13 / $10,404.54 / $10,404.54	Facility	62	$4,854.13	$10,404.54	$10,404.54
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $776.66 / $1,664.73 / $1,664.73	Facility	AS	$776.66	$1,664.73	$1,664.73