Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.95 / $2,455.32 / $6,911.92	Facility		$540.95	$2,455.32	$6,911.92
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 $250.44 / $331.27 / $437.75	Facility		$250.44	$331.27	$437.75
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $66.25 / $66.25 / $113.20	Facility	80	$66.25	$66.25	$113.20
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $46.38 / $46.38 / $79.23	Facility	AS	$46.38	$46.38	$79.23
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,379.46 / $4,025.98 / $5,000.00	Facility		$3,379.46	$4,025.98	$5,000.00
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $221.17 / $385.46 / $762.56	Facility	62	$221.17	$385.46	$762.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $35.39 / $61.67 / $122.01	Facility	AS	$35.39	$61.67	$122.01