Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.50 / $1,410.00 / $12,615.00	Facility		$731.50	$1,410.00	$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 $731.50 / $1,021.00 / $1,567.18	Facility		$731.50	$1,021.00	$1,567.18
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $128.97 / $142.94 / $231.45	Facility	AS	$128.97	$142.94	$231.45
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 / $5,991.58 / $5,991.58	Facility		$55.00	$5,991.58	$5,991.58
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $104.99 / $190.11 / $374.75	Facility	AS	$104.99	$190.11	$374.75