Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,524.54 / $13,764.00	Facility		$1,615.00	$2,524.54	$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 $1,621.43 / $2,038.04 / $3,279.72	Facility		$1,621.43	$2,038.04	$3,279.72
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $270.33 / $285.33 / $535.72	Facility	AS	$270.33	$285.33	$535.72
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 / $30,548.80 / $30,548.80	Facility		$55.00	$30,548.80	$30,548.80
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $234.35 / $414.09 / $824.61	Facility	AS	$234.35	$414.09	$824.61