Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,951.21 / $11,481.54	Facility		$1,202.26	$2,951.21	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,818.38	Professional		$2,454.71	$2,454.71	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,570.40	Facility		$1,202.26	$1,659.59	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $19,054.61	Facility		$4,168.69	$12,302.69	$19,054.61
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $9,772.37 / $9,772.37	Facility		$56.23	$9,772.37	$9,772.37
Wellcare Facility/Professional Facility Modifier 54 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	54	$6,918.31	$6,918.31	$6,918.31
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	AS	$977.24	$977.24	$977.24