Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $3,132.89 / $8,413.00	Facility		$1,245.00	$3,132.89	$8,413.00
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 $1,530.00 / $2,063.67 / $3,755.15	Facility		$1,530.00	$2,063.67	$3,755.15
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $214.20 / $320.81 / $633.92	Facility	AS	$214.20	$320.81	$633.92
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 / $13,995.00 / $13,995.00	Facility		$55.00	$13,995.00	$13,995.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $286.57 / $516.24 / $1,011.29	Facility	AS	$286.57	$516.24	$1,011.29