Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.64 / $1,615.00 / $6,953.60	Facility		$1,515.64	$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 $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,515.64 / $1,845.00 / $2,834.91	Facility		$1,515.64	$1,845.00	$2,834.91
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $326.60 / $382.27 / $566.19	Facility	80	$326.60	$382.27	$566.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $228.90 / $253.96 / $390.49	Facility	AS	$228.90	$253.96	$390.49
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 / $11,412.96 / $13,882.24	Facility		$55.00	$11,412.96	$13,882.24
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $343.65 / $740.90 / $740.90	Facility	AS	$343.65	$740.90	$740.90