Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.62 / $1,571.85 / $13,102.25	Facility		$563.62	$1,571.85	$13,102.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $8,207.54	Facility		$748.70	$748.70	$8,207.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $923.41 / $1,381.07	Facility		$568.02	$923.41	$1,381.07
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $108.64 / $168.42 / $210.38	Facility	AS	$108.64	$168.42	$210.38
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 $2,670.28 / $2,934.12 / $26,542.00	Facility		$2,670.28	$2,934.12	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $149.85 / $293.41 / $293.41	Facility	AS	$149.85	$293.41	$293.41