Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.13 / $2,803.46 / $7,474.35	Facility		$698.13	$2,803.46	$7,474.35
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 $698.13 / $896.30 / $1,422.43	Facility		$698.13	$896.30	$1,422.43
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,278.00 / $1,444.01 / $2,366.66	Facility	50	$1,278.00	$1,444.01	$2,366.66
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $118.02 / $131.30 / $220.89	Facility	AS	$118.02	$131.30	$220.89
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 $55.00 / $6,652.24 / $7,768.60	Facility		$55.00	$6,652.24	$7,768.60
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $162.00 / $417.33 / $736.98	Facility	AS	$162.00	$417.33	$736.98