Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.55 / $1,245.00 / $10,561.00	Facility		$662.55	$1,245.00	$10,561.00
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 $662.55 / $981.77 / $1,497.36	Facility		$662.55	$981.77	$1,497.36
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $125.36 / $142.10 / $212.24	Facility	AS	$125.36	$142.10	$212.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,354.39 / $8,354.39	Facility		$55.00	$8,354.39	$8,354.39
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $93.47 / $166.38 / $325.02	Facility	AS	$93.47	$166.38	$325.02