Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.62 / $3,175.00 / $10,453.00	Facility		$555.62	$3,175.00	$10,453.00
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 $555.62 / $790.00 / $1,311.26	Facility		$555.62	$790.00	$1,311.26
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $95.20 / $141.44 / $183.58	Facility	AS	$95.20	$141.44	$183.58
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 $2,145.64 / $8,957.00 / $26,542.00	Facility		$2,145.64	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $131.41 / $510.42 / $849.00	Facility	AS	$131.41	$510.42	$849.00