Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.54 / $1,615.00 / $8,413.00	Facility		$597.54	$1,615.00	$8,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,062.80	Facility		$606.10	$606.10	$2,062.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $597.54 / $696.00 / $1,099.29	Facility		$597.54	$696.00	$1,099.29
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $86.80 / $99.21 / $189.06	Facility	AS	$86.80	$99.21	$189.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,456.00 / $5,919.00	Facility		$1,064.00	$3,456.00	$5,919.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,465.42 / $6,817.20 / $26,542.00	Facility		$3,465.42	$6,817.20	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $139.02 / $388.48 / $646.16	Facility	AS	$139.02	$388.48	$646.16