Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,180.52 / $6,953.60	Facility		$1,615.00	$3,180.52	$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 62 Low / Median / High Price $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,179.83 / $2,857.15 / $4,182.26	Facility		$2,179.83	$2,857.15	$4,182.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $435.97 / $571.42 / $845.95	Facility	80	$435.97	$571.42	$845.95
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $305.18 / $400.00 / $576.96	Facility	AS	$305.18	$400.00	$576.96
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 / $30,375.38 / $36,730.96	Facility		$55.00	$30,375.38	$36,730.96
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $3,204.05 / $7,017.41 / $7,017.41	Facility	62	$3,204.05	$7,017.41	$7,017.41
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $512.65 / $1,122.79 / $1,122.79	Facility	AS	$512.65	$1,122.79	$1,122.79