Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.00 / $2,175.28 / $12,615.00	Facility		$1,410.00	$2,175.28	$12,615.00
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 $1,444.82 / $1,780.59 / $2,936.21	Facility		$1,444.82	$1,780.59	$2,936.21
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $240.80 / $249.28 / $457.14	Facility	AS	$240.80	$249.28	$457.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,317.00 / $13,946.00 / $21,454.00	Facility		$4,317.00	$13,946.00	$21,454.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,412.95 / $8,412.95	Facility		$55.00	$8,412.95	$8,412.95
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $206.37 / $373.61 / $736.83	Facility	AS	$206.37	$373.61	$736.83