Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.96 / $5,987.47 / $8,442.00	Facility		$472.96	$5,987.47	$8,442.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $472.96 / $618.61 / $948.01	Facility		$472.96	$618.61	$948.01
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $74.76 / $110.95 / $149.63	Facility	AS	$74.76	$110.95	$149.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,711.00 / $6,489.22 / $9,616.00	Facility		$1,711.00	$6,489.22	$9,616.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,830.20 / $8,957.00 / $26,542.00	Facility		$1,830.20	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $112.73 / $510.42 / $849.00	Facility	AS	$112.73	$510.42	$849.00