Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.97 / $2,728.49 / $12,893.19	Facility		$952.97	$2,728.49	$12,893.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,182.48 / $6,025.59	Facility		$1,182.48	$1,182.48	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $952.97 / $1,395.31 / $2,153.71	Facility		$952.97	$1,395.31	$2,153.71
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $166.67 / $211.26 / $304.64	Facility	AS	$166.67	$211.26	$304.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,495.16 / $19,913.50 / $26,542.00	Facility		$5,495.16	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $222.37 / $1,134.79 / $1,887.52	Facility	AS	$222.37	$1,134.79	$1,887.52