Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.60 / $3,757.00 / $11,485.97	Facility		$975.60	$3,757.00	$11,485.97
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 $975.60 / $1,347.00 / $1,996.53	Facility		$975.60	$1,347.00	$1,996.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $170.93 / $188.58 / $308.68	Facility	AS	$170.93	$188.58	$308.68
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 / $8,012.27 / $8,012.27	Facility		$55.00	$8,012.27	$8,012.27
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $140.36 / $254.28 / $501.72	Facility	AS	$140.36	$254.28	$501.72