Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.66 / $1,424.78 / $7,439.00	Facility		$902.66	$1,424.78	$7,439.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $902.66 / $1,105.57 / $1,769.99	Facility		$902.66	$1,105.57	$1,769.99
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.41 / $154.78 / $285.60	Facility	AS	$140.41	$154.78	$285.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,394.70 / $5,394.70	Facility		$55.00	$5,394.70	$5,394.70
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $132.22 / $239.99 / $474.73	Facility	AS	$132.22	$239.99	$474.73