Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.26 / $2,517.98 / $13,764.00	Facility		$1,614.26	$2,517.98	$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 $1,614.26 / $2,151.82 / $3,090.74	Facility		$1,614.26	$2,151.82	$3,090.74
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $287.51 / $359.52 / $510.75	Facility	AS	$287.51	$359.52	$510.75
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 / $17,008.74 / $17,008.74	Facility		$55.00	$17,008.74	$17,008.74
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $232.00 / $414.08 / $819.20	Facility	AS	$232.00	$414.08	$819.20