Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.20 / $2,684.77 / $13,764.00	Facility		$1,662.20	$2,684.77	$13,764.00
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 $1,752.43 / $2,301.57 / $3,264.19	Facility		$1,752.43	$2,301.57	$3,264.19
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $302.64 / $384.44 / $554.47	Facility	AS	$302.64	$384.44	$554.47
United Facility/Professional Facility Modifier Low / Median / High Price $8,153.00 / $21,463.00 / $29,047.00	Facility		$8,153.00	$21,463.00	$29,047.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,314.49 / $22,314.49	Facility		$55.00	$22,314.49	$22,314.49
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $248.95 / $439.59 / $876.51	Facility	AS	$248.95	$439.59	$876.51