Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.36 / $1,277.11 / $10,561.00	Facility		$808.36	$1,277.11	$10,561.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $808.36 / $1,125.42 / $1,653.50	Facility		$808.36	$1,125.42	$1,653.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.32 / $165.06 / $255.77	Facility	AS	$140.32	$165.06	$255.77
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 $4,674.06 / $19,913.50 / $26,542.00	Facility		$4,674.06	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $189.26 / $1,134.79 / $1,887.52	Facility	AS	$189.26	$1,134.79	$1,887.52