Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.60 / $8,806.79 / $13,764.00	Facility		$1,436.60	$8,806.79	$13,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $13,652.00	Facility		$606.10	$606.10	$13,652.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,436.60 / $1,779.90 / $3,172.00	Facility		$1,436.60	$1,779.90	$3,172.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $323.60 / $355.98 / $678.08	Facility	80	$323.60	$355.98	$678.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $226.52 / $249.19 / $474.65	Facility	AS	$226.52	$249.19	$474.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $23,532.88 / $23,532.88	Facility		$5,897.00	$23,532.88	$23,532.88
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $320.62 / $920.33 / $1,625.25	Facility	AS	$320.62	$920.33	$1,625.25