Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.83 / $9,041.00 / $18,926.30	Facility		$865.83	$9,041.00	$18,926.30
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 $644.41 / $882.02 / $1,292.94	Facility		$644.41	$882.02	$1,292.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $109.90 / $152.41 / $203.89	Facility	AS	$109.90	$152.41	$203.89
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 $3,113.35 / $19,913.50 / $26,542.00	Facility		$3,113.35	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $152.31 / $1,134.79 / $1,887.52	Facility	AS	$152.31	$1,134.79	$1,887.52