Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.23 / $1,849.00 / $11,288.54	Facility		$762.23	$1,849.00	$11,288.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $7,811.38	Facility		$852.10	$852.10	$7,811.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $762.23 / $914.68 / $1,424.50	Facility		$762.23	$914.68	$1,424.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.50 / $130.83 / $241.17	Facility	AS	$108.50	$130.83	$241.17
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 $4,417.85 / $25,815.20 / $26,542.00	Facility		$4,417.85	$25,815.20	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $179.29 / $1,471.11 / $2,446.92	Facility	AS	$179.29	$1,471.11	$2,446.92