Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $2,499.51 / $5,726.57	Facility		$110.57	$2,499.51	$5,726.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.82 / $120.82 / $120.82	Facility		$120.82	$120.82	$120.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $11.78 / $11.78 / $11.78	Facility	AS	$11.78	$11.78	$11.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.38 / $143.97 / $245.29	Facility		$104.38	$143.97	$245.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $19.04 / $20.16 / $34.32	Facility	AS	$19.04	$20.16	$34.32
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $874.00 / $2,074.00	Facility		$116.00	$874.00	$2,074.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $1,300.00	Facility		$55.00	$1,300.00	$1,300.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $23.89 / $51.03 / $51.03	Facility	AS	$23.89	$51.03	$51.03