Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.16 / $4,967.35 / $13,986.00	Facility		$668.16	$4,967.35	$13,986.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $2,710.28	Facility		$606.10	$606.10	$2,710.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $809.12 / $1,357.00	Facility		$575.00	$809.12	$1,357.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $99.81 / $133.69 / $199.08	Facility	AS	$99.81	$133.69	$199.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,715.00 / $14,893.00 / $22,265.00	Facility		$2,715.00	$14,893.00	$22,265.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $3,316.62 / $8,957.00 / $26,542.00	Facility		$3,316.62	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $134.88 / $510.42 / $849.00	Facility	AS	$134.88	$510.42	$849.00