Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,665.18 / $8,704.65 / $18,321.25	Facility		$1,665.18	$8,704.65	$18,321.25
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 $1,075.35 / $1,494.75 / $2,727.73	Facility		$1,075.35	$1,494.75	$2,727.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $266.32 / $408.80 / $647.54	Facility	80	$266.32	$408.80	$647.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $186.43 / $286.16 / $453.28	Facility	AS	$186.43	$286.16	$453.28
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 $9,422.45 / $19,913.50 / $25,000.00	Facility		$9,422.45	$19,913.50	$25,000.00
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $1,522.64 / $7,092.44 / $11,796.97	Facility	62	$1,522.64	$7,092.44	$11,796.97
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $243.62 / $1,134.79 / $1,887.52	Facility	AS	$243.62	$1,134.79	$1,887.52