Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.01 / $1,410.00 / $12,615.00	Facility		$803.01	$1,410.00	$12,615.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $7,637.23	Facility		$852.10	$852.10	$7,637.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $803.01 / $1,104.21 / $1,613.07	Facility		$803.01	$1,104.21	$1,613.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.66 / $156.38 / $254.07	Facility	AS	$138.66	$156.38	$254.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,605.24 / $25,239.65 / $26,542.00	Facility		$4,605.24	$25,239.65	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $186.63 / $1,438.31 / $2,392.36	Facility	AS	$186.63	$1,438.31	$2,392.36