Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.04 / $5,943.57 / $8,567.53	Facility		$728.04	$5,943.57	$8,567.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $6,025.59	Facility		$606.10	$606.10	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $728.04 / $937.20 / $1,415.37	Facility		$728.04	$937.20	$1,415.37
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $107.94 / $144.34 / $230.35	Facility	AS	$107.94	$144.34	$230.35
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 $2,829.48 / $19,913.50 / $26,542.00	Facility		$2,829.48	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.98 / $1,134.79 / $1,887.52	Facility	AS	$172.98	$1,134.79	$1,887.52