Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.78 / $2,398.46 / $12,615.00	Facility		$1,508.78	$2,398.46	$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 $1,548.95 / $1,924.54 / $3,119.93	Facility		$1,548.95	$1,924.54	$3,119.93
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $260.12 / $269.44 / $490.09	Facility	AS	$260.12	$269.44	$490.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,870.00 / $22,780.00	Facility		$4,015.00	$15,870.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,276.23 / $16,276.23	Facility		$55.00	$16,276.23	$16,276.23
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $221.90 / $397.14 / $786.59	Facility	AS	$221.90	$397.14	$786.59