Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.79 / $1,729.09 / $11,124.00	Facility		$1,078.79	$1,729.09	$11,124.00
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 $1,078.79 / $1,434.78 / $2,196.98	Facility		$1,078.79	$1,434.78	$2,196.98
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $145.02 / $248.08 / $341.33	Facility	AS	$145.02	$248.08	$341.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $17,610.04 / $17,610.04	Facility		$5,000.00	$17,610.04	$17,610.04
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $154.32 / $273.04 / $544.66	Facility	AS	$154.32	$273.04	$544.66