Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.37 / $1,245.00 / $10,561.00	Facility		$484.37	$1,245.00	$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 $484.37 / $678.12 / $1,413.00	Facility		$484.37	$678.12	$1,413.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $82.18 / $126.15 / $197.82	Facility	AS	$82.18	$126.15	$197.82
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 $1,878.44 / $8,957.00 / $26,542.00	Facility		$1,878.44	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $115.29 / $510.42 / $849.00	Facility	AS	$115.29	$510.42	$849.00