Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.32 / $1,245.00 / $10,561.00	Facility		$441.32	$1,245.00	$10,561.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $2,710.28	Facility		$748.70	$748.70	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $441.32 / $639.20 / $940.00	Facility		$441.32	$639.20	$940.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $78.83 / $110.02 / $139.63	Facility	AS	$78.83	$110.02	$139.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,689.52 / $8,957.00 / $26,542.00	Facility		$1,689.52	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $104.47 / $510.42 / $849.00	Facility	AS	$104.47	$510.42	$849.00