Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.50 / $1,615.00 / $10,561.00	Facility		$606.50	$1,615.00	$10,561.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $606.50 / $886.46 / $1,345.81	Facility		$606.50	$886.46	$1,345.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $106.72 / $138.60 / $191.90	Facility	AS	$106.72	$138.60	$191.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,347.04 / $8,957.00 / $26,542.00	Facility		$2,347.04	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $143.69 / $510.42 / $849.00	Facility	AS	$143.69	$510.42	$849.00