Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.81 / $1,579.66 / $10,561.00	Facility		$995.81	$1,579.66	$10,561.00
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 $995.81 / $1,317.11 / $1,998.54	Facility		$995.81	$1,317.11	$1,998.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $172.65 / $186.62 / $315.07	Facility	AS	$172.65	$186.62	$315.07
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 $55.00 / $8,196.86 / $8,196.86	Facility		$55.00	$8,196.86	$8,196.86
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $143.57 / $260.31 / $513.95	Facility	AS	$143.57	$260.31	$513.95