Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.83 / $1,615.00 / $10,924.00	Facility		$822.83	$1,615.00	$10,924.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.10 / $852.10 / $14,546.39	Facility		$852.10	$852.10	$14,546.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $822.83 / $1,029.55 / $1,681.76	Facility		$822.83	$1,029.55	$1,681.76
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $138.60 / $144.13 / $260.33	Facility	AS	$138.60	$144.13	$260.33
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 $3,953.00 / $41,959.93 / $48,073.20	Facility		$3,953.00	$41,959.93	$48,073.20
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $191.92 / $2,739.50 / $4,556.66	Facility	AS	$191.92	$2,739.50	$4,556.66