Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.17 / $6,735.00 / $16,818.09	Facility		$786.17	$6,735.00	$16,818.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,099.40	Facility		$606.10	$606.10	$8,099.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $786.17 / $1,232.40 / $1,778.81	Facility		$786.17	$1,232.40	$1,778.81
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $146.03 / $197.82 / $249.03	Facility	AS	$146.03	$197.82	$249.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,306.00 / $12,081.00 / $18,765.00	Facility		$3,306.00	$12,081.00	$18,765.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,017.52 / $26,542.00 / $26,767.10	Facility		$3,017.52	$26,542.00	$26,767.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $183.97 / $1,525.35 / $2,537.14	Facility	AS	$183.97	$1,525.35	$2,537.14