Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $8,158.00 / $16,469.02	Facility		$1,245.00	$8,158.00	$16,469.02
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 $1,152.80 / $1,601.00 / $2,377.16	Facility		$1,152.80	$1,601.00	$2,377.16
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $203.45 / $224.14 / $364.75	Facility	AS	$203.45	$224.14	$364.75
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 $55.00 / $9,462.32 / $9,462.32	Facility		$55.00	$9,462.32	$9,462.32
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $165.82 / $300.10 / $591.36	Facility	AS	$165.82	$300.10	$591.36