Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.64 / $1,635.00 / $10,034.00	Facility		$727.64	$1,635.00	$10,034.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $727.64 / $921.53 / $1,496.66	Facility		$727.64	$921.53	$1,496.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $97.70 / $147.13 / $230.23	Facility	AS	$97.70	$147.13	$230.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $8,736.00 / $13,997.00	Facility		$2,629.00	$8,736.00	$13,997.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,726.96 / $19,913.50 / $26,542.00	Facility		$2,726.96	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $168.82 / $1,134.79 / $1,887.52	Facility	AS	$168.82	$1,134.79	$1,887.52