Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.37 / $1,615.00 / $21,129.79	Facility		$758.37	$1,615.00	$21,129.79
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 $758.37 / $961.99 / $1,547.49	Facility		$758.37	$961.99	$1,547.49
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $105.42 / $153.16 / $239.95	Facility	AS	$105.42	$153.16	$239.95
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 $2,845.68 / $8,957.00 / $26,542.00	Facility		$2,845.68	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $176.20 / $510.42 / $849.00	Facility	AS	$176.20	$510.42	$849.00