Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.06 / $7,993.00 / $22,842.28	Facility		$1,456.06	$7,993.00	$22,842.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,927.35 / $3,635.94	Facility		$515.00	$1,927.35	$3,635.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $946.38 / $1,187.00 / $1,690.87	Facility		$946.38	$1,187.00	$1,690.87
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $235.26 / $269.60 / $348.18	Facility	80	$235.26	$269.60	$348.18
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $152.85 / $188.72 / $238.00	Facility	AS	$152.85	$188.72	$238.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,543.00 / $6,360.00 / $26,739.00	Facility		$3,543.00	$6,360.00	$26,739.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,793.88 / $13,044.12 / $14,630.00	Facility		$10,793.88	$13,044.12	$14,630.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $211.41 / $1,008.48 / $1,008.48	Facility	AS	$211.41	$1,008.48	$1,008.48