Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $185.61 / $6,953.60	Facility		$118.32	$185.61	$6,953.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $515.00 / $606.10	Facility		$136.38	$515.00	$606.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $162.22 / $226.28	Facility		$118.32	$162.22	$226.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $30.49 / $35.50 / $46.31	Facility	80	$30.49	$35.50	$46.31
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $19.04 / $24.64 / $31.03	Facility	AS	$19.04	$24.64	$31.03
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 $55.00 / $369.09 / $1,300.00	Facility		$55.00	$369.09	$1,300.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $26.70 / $56.60 / $56.60	Facility	AS	$26.70	$56.60	$56.60