Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.61 / $1,110.60 / $8,413.00	Facility		$699.61	$1,110.60	$8,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $7,854.54	Facility		$606.10	$606.10	$7,854.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $699.61 / $869.19 / $1,439.66	Facility		$699.61	$869.19	$1,439.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $120.54 / $121.69 / $221.36	Facility	AS	$120.54	$121.69	$221.36
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 $3,362.75 / $25,957.85 / $26,542.00	Facility		$3,362.75	$25,957.85	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $163.68 / $1,479.24 / $2,460.44	Facility	AS	$163.68	$1,479.24	$2,460.44