Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,626.42 / $10,134.00	Facility		$1,615.00	$2,626.42	$10,134.00
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 AS Low / Median / High Price $184.06 / $184.06 / $184.06	Facility	AS	$184.06	$184.06	$184.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,628.70 / $2,062.61 / $2,924.07	Facility		$1,628.70	$2,062.61	$2,924.07
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $410.36 / $466.35 / $607.84	Facility	80	$410.36	$466.35	$607.84
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $262.97 / $326.44 / $415.87	Facility	AS	$262.97	$326.44	$415.87
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 / $12,235.92 / $14,866.08	Facility		$2,800.00	$12,235.92	$14,866.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $366.26 / $794.73 / $794.73	Facility	AS	$366.26	$794.73	$794.73