Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.35 / $1,245.00 / $15,291.00	Facility		$618.35	$1,245.00	$15,291.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,182.48 / $8,326.59	Facility		$1,182.48	$1,182.48	$8,326.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $618.35 / $858.27 / $1,397.47	Facility		$618.35	$858.27	$1,397.47
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.23 / $136.78 / $204.30	Facility	AS	$105.23	$136.78	$204.30
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 $2,396.56 / $26,542.00 / $27,517.90	Facility		$2,396.56	$26,542.00	$27,517.90
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $146.94 / $1,568.14 / $2,608.31	Facility	AS	$146.94	$1,568.14	$2,608.31