Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $8,912.51 / $20,892.96	Facility		$2,754.23	$8,912.51	$20,892.96
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 $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,235.94	Facility		$1,698.24	$2,041.74	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $15,135.61 / $22,908.68	Facility		$5,370.32	$15,135.61	$22,908.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $21,877.62 / $21,877.62	Facility		$56.23	$21,877.62	$21,877.62
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility	52	$17,378.01	$17,378.01	$17,378.01
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	AS	$2,187.76	$2,187.76	$2,187.76