Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.70 / $2,115.52 / $13,764.00	Facility		$1,297.70	$2,115.52	$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 $1,323.06 / $1,655.44 / $2,687.79	Facility		$1,323.06	$1,655.44	$2,687.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $218.68 / $231.76 / $418.62	Facility	AS	$218.68	$231.76	$418.62
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 / $21,819.56 / $21,819.56	Facility		$55.00	$21,819.56	$21,819.56
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $191.18 / $340.33 / $677.22	Facility	AS	$191.18	$340.33	$677.22