Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.68 / $1,721.97 / $12,615.00	Facility		$1,079.68	$1,721.97	$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 $1,079.68 / $1,358.10 / $2,229.96	Facility		$1,079.68	$1,358.10	$2,229.96
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $182.14 / $190.13 / $341.61	Facility	AS	$182.14	$190.13	$341.61
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 / $8,841.98 / $8,841.98	Facility		$55.00	$8,841.98	$8,841.98
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $154.96 / $280.37 / $552.33	Facility	AS	$154.96	$280.37	$552.33