Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.44 / $7,129.08 / $11,881.64	Facility		$989.44	$7,129.08	$11,881.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.23 / $1,958.30 / $3,266.42	Facility		$723.23	$1,958.30	$3,266.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $71.36 / $71.36	Facility	AS	$71.36	$71.36	$71.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $624.71 / $793.08 / $1,143.33	Facility		$624.71	$793.08	$1,143.33
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,138.50 / $1,308.00 / $1,715.01	Facility	50	$1,138.50	$1,308.00	$1,715.01
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $151.80 / $174.40 / $228.67	Facility	80	$151.80	$174.40	$228.67
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $100.98 / $122.08 / $157.05	Facility	AS	$100.98	$122.08	$157.05
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,557.00 / $11,999.00	Facility		$902.00	$1,557.00	$11,999.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $9,558.29 / $26,542.00	Facility		$2,971.90	$9,558.29	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $140.40 / $905.99 / $905.99	Facility	AS	$140.40	$905.99	$905.99