Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.04 / $9,611.62 / $16,775.58	Facility		$1,060.04	$9,611.62	$16,775.58
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 $796.94 / $1,172.00 / $1,801.08	Facility		$796.94	$1,172.00	$1,801.08
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $140.38 / $164.08 / $252.15	Facility	AS	$140.38	$164.08	$252.15
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 / $4,702.00 / $4,702.00	Facility		$55.00	$4,702.00	$4,702.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $115.26 / $209.10 / $413.52	Facility	AS	$115.26	$209.10	$413.52