Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.70 / $418.83 / $6,953.60	Facility		$256.70	$418.83	$6,953.60
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 $256.70 / $384.40 / $610.86	Facility		$256.70	$384.40	$610.86
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $67.16 / $91.00 / $134.40	Facility	80	$67.16	$91.00	$134.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $63.70 / $94.08	Facility	AS	$47.01	$63.70	$94.08
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 $3,476.34 / $4,137.14 / $5,000.00	Facility		$3,476.34	$4,137.14	$5,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $36.36 / $63.29 / $125.32	Facility	AS	$36.36	$63.29	$125.32