Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.79 / $1,427.39 / $12,615.00	Facility		$955.79	$1,427.39	$12,615.00
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 $955.79 / $1,217.14 / $1,947.08	Facility		$955.79	$1,217.14	$1,947.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $155.47 / $208.60 / $302.41	Facility	AS	$155.47	$208.60	$302.41
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 / $7,766.71 / $7,766.71	Facility		$55.00	$7,766.71	$7,766.71
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $135.83 / $247.35 / $491.21	Facility	AS	$135.83	$247.35	$491.21