Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.89 / $7,439.00 / $11,284.55	Facility		$940.89	$7,439.00	$11,284.55
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 $940.89 / $1,253.00 / $1,965.04	Facility		$940.89	$1,253.00	$1,965.04
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $166.32 / $175.42 / $297.70	Facility	AS	$166.32	$175.42	$297.70
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 $55.00 / $5,480.10 / $5,480.10	Facility		$55.00	$5,480.10	$5,480.10
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $134.47 / $243.32 / $479.09	Facility	AS	$134.47	$243.32	$479.09