Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.35 / $9,199.00 / $16,427.22	Facility		$1,251.35	$9,199.00	$16,427.22
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 $1,251.35 / $1,705.84 / $2,891.00	Facility		$1,251.35	$1,705.84	$2,891.00
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $306.25 / $369.80 / $606.79	Facility	80	$306.25	$369.80	$606.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $214.38 / $258.86 / $424.76	Facility	AS	$214.38	$258.86	$424.76
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 $6,500.00 / $17,381.18 / $19,913.50	Facility		$6,500.00	$17,381.18	$19,913.50
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,751.73 / $7,092.44 / $11,796.97	Facility	62	$1,751.73	$7,092.44	$11,796.97
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $280.27 / $1,134.79 / $1,887.52	Facility	AS	$280.27	$1,134.79	$1,887.52