Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.47 / $4,453.10 / $10,034.00	Facility		$644.47	$4,453.10	$10,034.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $663.79 / $927.98 / $1,566.54	Facility		$663.79	$927.98	$1,566.54
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $115.04 / $170.38 / $222.32	Facility	AS	$115.04	$170.38	$222.32
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 $3,186.65 / $19,913.50 / $26,542.00	Facility		$3,186.65	$19,913.50	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $155.32 / $1,134.79 / $1,887.52	Facility	AS	$155.32	$1,134.79	$1,887.52