Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.79 / $1,145.95 / $8,413.00	Facility		$704.79	$1,145.95	$8,413.00
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 $704.79 / $998.97 / $1,320.07	Facility		$704.79	$998.97	$1,320.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.16 / $139.86 / $232.86	Facility	AS	$138.16	$139.86	$232.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,711.00 / $6,575.00 / $10,397.00	Facility		$1,711.00	$6,575.00	$10,397.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,810.56 / $12,810.56	Facility		$55.00	$12,810.56	$12,810.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $98.70 / $174.87 / $339.32	Facility	AS	$98.70	$174.87	$339.32