Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,884.03 / $5,495.41	Facility		$724.44	$2,884.03	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,737.80	Professional		$1,445.44	$1,445.44	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,548.82	Facility		$741.31	$1,023.29	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,791.08 / $22,387.21	Facility		$5,370.32	$14,791.08	$22,387.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,748.98 / $11,748.98	Facility		$5,011.87	$11,748.98	$11,748.98
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	AS	$1,174.90	$1,174.90	$1,174.90