Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $6,918.31 / $10,471.29	Facility		$741.31	$6,918.31	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,122.02	Professional		$794.33	$794.33	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,000.00	Facility		$478.63	$630.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $10,471.29	Facility		$2,187.76	$6,918.31	$10,471.29
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $33,884.42	Facility		$8,912.51	$8,912.51	$33,884.42
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25