Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.70 / $7,439.00 / $19,098.63	Facility		$1,226.70	$7,439.00	$19,098.63
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 $1,226.70 / $1,719.96 / $2,587.53	Facility		$1,226.70	$1,719.96	$2,587.53
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $221.59 / $245.42 / $388.13	Facility	AS	$221.59	$245.42	$388.13
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 / $7,151.60 / $7,151.60	Facility		$55.00	$7,151.60	$7,151.60
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $175.66 / $317.08 / $621.90	Facility	AS	$175.66	$317.08	$621.90