Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.90 / $1,245.00 / $10,561.00	Facility		$537.90	$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 $537.90 / $778.84 / $1,205.00	Facility		$537.90	$778.84	$1,205.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $98.27 / $119.98 / $170.19	Facility	AS	$98.27	$119.98	$170.19
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 / $6,946.28 / $6,946.28	Facility		$55.00	$6,946.28	$6,946.28
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $77.43 / $139.51 / $276.32	Facility	AS	$77.43	$139.51	$276.32