Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.63 / $1,615.00 / $6,953.60	Facility		$1,383.63	$1,615.00	$6,953.60
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 $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,205.00 / $1,597.36 / $2,492.46	Facility		$1,205.00	$1,597.36	$2,492.46
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $241.00 / $285.20 / $513.33	Facility	80	$241.00	$285.20	$513.33
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $168.70 / $223.25 / $348.15	Facility	AS	$168.70	$223.25	$348.15
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $1,208.00 / $9,324.00	Facility		$773.00	$1,208.00	$9,324.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,428.56 / $12,605.20	Facility		$55.00	$10,428.56	$12,605.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $310.75 / $670.48 / $670.48	Facility	AS	$310.75	$670.48	$670.48