Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.70 / $1,025.84 / $7,278.00	Facility		$625.70	$1,025.84	$7,278.00
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 $625.70 / $840.96 / $1,342.00	Facility		$625.70	$840.96	$1,342.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.67 / $149.22 / $197.97	Facility	AS	$108.67	$149.22	$197.97
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 / $5,201.77 / $5,201.77	Facility		$55.00	$5,201.77	$5,201.77
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $91.03 / $165.34 / $327.73	Facility	AS	$91.03	$165.34	$327.73