Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.29 / $1,615.00 / $7,968.00	Facility		$753.29	$1,615.00	$7,968.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,347.39	Facility		$606.10	$606.10	$8,347.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $753.29 / $1,150.00 / $1,702.44	Facility		$753.29	$1,150.00	$1,702.44
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.49 / $190.40 / $238.34	Facility	AS	$139.49	$190.40	$238.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,183.00 / $12,216.00 / $19,066.00	Facility		$3,183.00	$12,216.00	$19,066.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,896.24 / $26,542.00 / $27,586.60	Facility		$2,896.24	$26,542.00	$27,586.60
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $176.86 / $1,572.05 / $2,614.82	Facility	AS	$176.86	$1,572.05	$2,614.82