Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $2,755.39 / $13,502.76	Facility		$611.91	$2,755.39	$13,502.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $7,599.28	Facility		$606.10	$606.10	$7,599.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $893.95 / $1,378.79	Facility		$611.91	$893.95	$1,378.79
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.33 / $147.02 / $193.61	Facility	AS	$105.33	$147.02	$193.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,370.32 / $25,114.25 / $26,542.00	Facility		$2,370.32	$25,114.25	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $145.01 / $1,431.16 / $2,380.48	Facility	AS	$145.01	$1,431.16	$2,380.48