Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.22 / $1,514.32 / $10,924.00	Facility		$946.22	$1,514.32	$10,924.00
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 $946.22 / $1,471.88 / $2,233.08	Facility		$946.22	$1,471.88	$2,233.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $173.24 / $222.32 / $306.45	Facility	AS	$173.24	$222.32	$306.45
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 / $6,622.08 / $6,622.08	Facility		$55.00	$6,622.08	$6,622.08
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $135.49 / $244.72 / $480.79	Facility	AS	$135.49	$244.72	$480.79