Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.51 / $1,615.00 / $7,439.00	Facility		$1,057.51	$1,615.00	$7,439.00
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 $1,057.51 / $1,327.91 / $2,095.26	Facility		$1,057.51	$1,327.91	$2,095.26
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $238.20 / $265.58 / $499.14	Facility	80	$238.20	$265.58	$499.14
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $166.74 / $185.91 / $334.60	Facility	AS	$166.74	$185.91	$334.60
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 $55.00 / $11,141.19 / $11,141.19	Facility		$55.00	$11,141.19	$11,141.19
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $151.84 / $269.73 / $537.61	Facility	AS	$151.84	$269.73	$537.61