Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,057.58 / $6,953.60	Facility		$1,615.00	$3,057.58	$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 $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,057.58 / $3,743.19 / $5,631.68	Facility		$3,057.58	$3,743.19	$5,631.68
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $679.00 / $764.23 / $1,130.36	Facility	80	$679.00	$764.23	$1,130.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $475.30 / $522.63 / $769.83	Facility	AS	$475.30	$522.63	$769.83
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 / $26,040.33 / $31,452.39	Facility		$55.00	$26,040.33	$31,452.39
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $4,277.71 / $9,325.23 / $9,325.23	Facility	62	$4,277.71	$9,325.23	$9,325.23
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $684.43 / $1,492.04 / $1,492.04	Facility	AS	$684.43	$1,492.04	$1,492.04