Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.99 / $3,493.46 / $15,456.37	Facility		$1,652.99	$3,493.46	$15,456.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,652.99 / $2,194.15 / $3,149.23	Facility		$1,652.99	$2,194.15	$3,149.23
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $417.85 / $541.11 / $780.21	Facility	80	$417.85	$541.11	$780.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $292.50 / $378.78 / $523.01	Facility	AS	$292.50	$378.78	$523.01
United Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $3,994.00 / $6,543.00	Facility		$806.00	$3,994.00	$6,543.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $26,813.92 / $26,813.92	Facility		$5,897.00	$26,813.92	$26,813.92
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $235.20 / $416.31 / $825.94	Facility	AS	$235.20	$416.31	$825.94