Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.09 / $4,937.33 / $7,993.00	Facility		$683.09	$4,937.33	$7,993.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $683.09 / $876.43 / $1,282.44	Facility		$683.09	$876.43	$1,282.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $122.70 / $122.70 / $216.13	Facility	AS	$122.70	$122.70	$216.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,950.27 / $6,817.20	Facility		$55.00	$5,950.27	$6,817.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $157.41 / $388.48 / $646.16	Facility	AS	$157.41	$388.48	$646.16