Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $5,994.00 / $8,847.66	Facility		$1,245.00	$5,994.00	$8,847.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.36 / $2,788.73 / $5,544.25	Facility		$495.36	$2,788.73	$5,544.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $37.06 / $37.06	Facility	AS	$37.06	$37.06	$37.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $322.76 / $427.13 / $645.00	Facility		$322.76	$427.13	$645.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $80.48 / $115.80 / $129.00	Facility	80	$80.48	$115.80	$129.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $52.38 / $75.20 / $90.30	Facility	AS	$52.38	$75.20	$90.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,461.00 / $2,050.00 / $15,712.00	Facility		$1,461.00	$2,050.00	$15,712.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,165.94 / $16,223.75 / $26,542.00	Facility		$2,165.94	$16,223.75	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $73.48 / $1,537.78 / $1,537.78	Facility	AS	$73.48	$1,537.78	$1,537.78