Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,697.17 / $12,615.00	Facility		$1,615.00	$2,697.17	$12,615.00
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 $1,738.27 / $2,146.89 / $3,499.07	Facility		$1,738.27	$2,146.89	$3,499.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $288.95 / $300.56 / $549.99	Facility	AS	$288.95	$300.56	$549.99
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 / $22,325.93 / $22,325.93	Facility		$55.00	$22,325.93	$22,325.93
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $248.97 / $441.09 / $879.96	Facility	AS	$248.97	$441.09	$879.96