Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,265.80 / $11,748.98	Facility		$724.44	$4,265.80	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,737.80	Professional		$1,258.93	$1,258.93	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,513.56	Facility		$724.44	$977.24	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,748.98 / $18,620.87	Facility		$5,011.87	$11,748.98	$18,620.87
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $33,884.42	Facility		$19,952.62	$19,952.62	$33,884.42
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26