Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.79 / $4,247.60 / $8,442.00	Facility		$515.79	$4,247.60	$8,442.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $515.79 / $646.00 / $1,003.59	Facility		$515.79	$646.00	$1,003.59
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $70.02 / $90.44 / $163.19	Facility	AS	$70.02	$90.44	$163.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,500.60 / $8,957.00 / $26,542.00	Facility		$2,500.60	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $122.14 / $510.42 / $849.00	Facility	AS	$122.14	$510.42	$849.00