Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $1,338.00 / $7,968.00	Facility		$741.64	$1,338.00	$7,968.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $8,177.90	Facility		$606.10	$606.10	$8,177.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $1,042.94 / $1,528.73	Facility		$741.64	$1,042.94	$1,528.73
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $129.62 / $151.62 / $244.73	Facility	AS	$129.62	$151.62	$244.73
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 $3,441.85 / $26,542.00 / $27,026.50	Facility		$3,441.85	$26,542.00	$27,026.50
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $167.95 / $1,540.14 / $2,561.73	Facility	AS	$167.95	$1,540.14	$2,561.73