Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,879.00 / $9,561.00 / $16,235.01	Facility		$3,879.00	$9,561.00	$16,235.01
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $10,766.10 / $10,766.10 / $10,766.10	Facility	22	$10,766.10	$10,766.10	$10,766.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,908.77 / $13,655.65 / $17,979.00	Facility	50	$5,908.77	$13,655.65	$17,979.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $6,025.59 / $13,652.00	Facility		$606.10	$6,025.59	$13,652.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $948.85 / $1,297.83 / $2,300.00	Facility		$948.85	$1,297.83	$2,300.00
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,747.08 / $2,562.00 / $3,764.87	Facility	50	$1,747.08	$2,562.00	$3,764.87
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $232.94 / $341.60 / $502.00	Facility	80	$232.94	$341.60	$502.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $163.06 / $239.12 / $350.25	Facility	AS	$163.06	$239.12	$350.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,870.00 / $22,780.00	Facility		$4,015.00	$15,870.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $7,803.54 / $19,913.50 / $30,000.00	Facility		$7,803.54	$19,913.50	$30,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $202.65 / $1,134.79 / $1,887.52	Facility	AS	$202.65	$1,134.79	$1,887.52