Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.19 / $1,739.84 / $13,764.00	Facility		$1,085.19	$1,739.84	$13,764.00
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 $1,085.19 / $1,417.77 / $2,321.94	Facility		$1,085.19	$1,417.77	$2,321.94
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $189.84 / $198.49 / $343.35	Facility	AS	$189.84	$198.49	$343.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,015.00 / $15,545.00 / $22,780.00	Facility		$4,015.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,207.52 / $10,207.52	Facility		$55.00	$10,207.52	$10,207.52
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $156.63 / $284.12 / $556.79	Facility	AS	$156.63	$284.12	$556.79