Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.13 / $6,953.60 / $10,453.00	Facility		$495.13	$6,953.60	$10,453.00
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 $495.13 / $718.57 / $1,097.01	Facility		$495.13	$718.57	$1,097.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $90.53 / $101.08 / $163.59	Facility	AS	$90.53	$101.08	$163.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,004.42 / $4,004.42	Facility		$55.00	$4,004.42	$4,004.42
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $70.19 / $126.19 / $249.42	Facility	AS	$70.19	$126.19	$249.42