Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.07 / $1,257.11 / $10,561.00	Facility		$788.07	$1,257.11	$10,561.00
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 $788.07 / $977.48 / $1,581.27	Facility		$788.07	$977.48	$1,581.27
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $133.69 / $136.85 / $249.35	Facility	AS	$133.69	$136.85	$249.35
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 $3,799.80 / $8,957.00 / $26,542.00	Facility		$3,799.80	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $185.02 / $510.42 / $849.00	Facility	AS	$185.02	$510.42	$849.00