Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.59 / $1,245.00 / $8,413.00	Facility		$761.59	$1,245.00	$8,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $6,025.59 / $13,652.00	Facility		$606.10	$6,025.59	$13,652.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $761.59 / $971.66 / $1,575.75	Facility		$761.59	$971.66	$1,575.75
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $113.12 / $139.41 / $240.97	Facility	AS	$113.12	$139.41	$240.97
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 $2,000.00 / $17,381.18 / $19,913.50	Facility		$2,000.00	$17,381.18	$19,913.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $173.35 / $1,134.79 / $1,887.52	Facility	AS	$173.35	$1,134.79	$1,887.52