Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.93 / $1,163.69 / $7,362.00	Facility		$736.93	$1,163.69	$7,362.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.75 / $395.75 / $2,710.28	Facility		$395.75	$395.75	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $736.93 / $935.63 / $1,512.65	Facility		$736.93	$935.63	$1,512.65
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $98.87 / $149.52 / $233.16	Facility	AS	$98.87	$149.52	$233.16
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 $2,762.68 / $8,957.00 / $12,000.00	Facility		$2,762.68	$8,957.00	$12,000.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $170.99 / $510.42 / $849.00	Facility	AS	$170.99	$510.42	$849.00