Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.23 / $1,552.43 / $3,629.25	Facility		$991.23	$1,552.43	$3,629.25
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 $112.52 / $112.52 / $112.52	Facility	AS	$112.52	$112.52	$112.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $991.23 / $1,258.91 / $1,856.42	Facility		$991.23	$1,258.91	$1,856.42
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $230.80 / $252.20 / $371.28	Facility	80	$230.80	$252.20	$371.28
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $160.72 / $176.54 / $253.55	Facility	AS	$160.72	$176.54	$253.55
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 / $7,467.04 / $9,109.44	Facility		$55.00	$7,467.04	$9,109.44
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $224.33 / $488.92 / $488.92	Facility	AS	$224.33	$488.92	$488.92