Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.78 / $2,219.67 / $10,561.00	Facility		$766.78	$2,219.67	$10,561.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.70 / $748.70 / $17,058.99	Facility		$748.70	$748.70	$17,058.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $766.78 / $1,068.00 / $1,623.52	Facility		$766.78	$1,068.00	$1,623.52
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $139.40 / $149.52 / $242.61	Facility	AS	$139.40	$149.52	$242.61
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 $2,908.88 / $49,207.66 / $56,376.90	Facility		$2,908.88	$49,207.66	$56,376.90
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $179.58 / $3,212.70 / $5,343.73	Facility	AS	$179.58	$3,212.70	$5,343.73