Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.90 / $1,245.00 / $8,413.00	Facility		$719.90	$1,245.00	$8,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,118.64	Facility		$606.10	$606.10	$8,118.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $719.90 / $1,033.28 / $1,518.11	Facility		$719.90	$1,033.28	$1,518.11
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.34 / $155.82 / $227.78	Facility	AS	$129.34	$155.82	$227.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $8,736.00 / $13,997.00	Facility		$2,629.00	$8,736.00	$13,997.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,523.85 / $26,542.00 / $26,830.65	Facility		$3,523.85	$26,542.00	$26,830.65
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $172.03 / $1,528.98 / $2,543.17	Facility	AS	$172.03	$1,528.98	$2,543.17