Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.35 / $913.40 / $7,439.00	Facility		$580.35	$913.40	$7,439.00
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 $580.35 / $879.44 / $1,317.50	Facility		$580.35	$879.44	$1,317.50
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $110.56 / $142.13 / $191.75	Facility	AS	$110.56	$142.13	$191.75
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 / $3,320.00 / $3,320.00	Facility		$55.00	$3,320.00	$3,320.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $81.69 / $145.43 / $284.64	Facility	AS	$81.69	$145.43	$284.64