Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.20 / $1,463.14 / $8,413.00	Facility		$917.20	$1,463.14	$8,413.00
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 $917.20 / $1,267.00 / $1,912.25	Facility		$917.20	$1,267.00	$1,912.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $162.02 / $177.38 / $290.20	Facility	AS	$162.02	$177.38	$290.20
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 $2,000.00 / $7,519.61 / $7,519.61	Facility		$2,000.00	$7,519.61	$7,519.61
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $131.78 / $238.50 / $469.88	Facility	AS	$131.78	$238.50	$469.88