Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.24 / $1,635.00 / $8,442.00	Facility		$421.24	$1,635.00	$8,442.00
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 $421.24 / $628.00 / $1,042.00	Facility		$421.24	$628.00	$1,042.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $74.09 / $103.42 / $145.88	Facility	AS	$74.09	$103.42	$145.88
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 $1,639.08 / $8,957.00 / $26,542.00	Facility		$1,639.08	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $100.65 / $510.42 / $849.00	Facility	AS	$100.65	$510.42	$849.00