Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.85 / $2,520.62 / $12,615.00	Facility		$1,611.85	$2,520.62	$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 $1,611.85 / $2,067.84 / $3,369.82	Facility		$1,611.85	$2,067.84	$3,369.82
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $284.20 / $289.50 / $509.99	Facility	AS	$284.20	$289.50	$509.99
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 / $24,455.08 / $24,455.08	Facility		$55.00	$24,455.08	$24,455.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $231.02 / $416.83 / $817.70	Facility	AS	$231.02	$416.83	$817.70