Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.40 / $903.00 / $7,362.00	Facility		$178.40	$903.00	$7,362.00
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 $178.40 / $263.08 / $410.85	Facility		$178.40	$263.08	$410.85
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $32.40 / $43.82 / $58.94	Facility	AS	$32.40	$43.82	$58.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $384.33 / $1,300.00 / $2,000.00	Facility		$384.33	$1,300.00	$2,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $25.04 / $43.74 / $86.38	Facility	AS	$25.04	$43.74	$86.38