Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.53 / $1,786.24 / $8,754.36	Facility		$393.53	$1,786.24	$8,754.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $6,025.59	Facility		$748.70	$748.70	$6,025.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $401.40 / $705.48 / $1,022.40	Facility		$401.40	$705.48	$1,022.40
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $79.55 / $124.51 / $155.59	Facility	AS	$79.55	$124.51	$155.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,661.00 / $7,659.00 / $10,502.00	Facility		$1,661.00	$7,659.00	$10,502.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,887.36 / $2,078.27 / $26,542.00	Facility		$1,887.36	$2,078.27	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $106.29 / $207.83 / $207.83	Facility	AS	$106.29	$207.83	$207.83