Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.40 / $4,851.14 / $8,413.00	Facility		$511.40	$4,851.14	$8,413.00
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 $511.40 / $723.11 / $1,113.00	Facility		$511.40	$723.11	$1,113.00
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $88.62 / $119.14 / $161.81	Facility	AS	$88.62	$119.14	$161.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $9,541.00 / $14,589.00	Facility		$2,248.00	$9,541.00	$14,589.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $1,976.52 / $8,957.00 / $26,542.00	Facility		$1,976.52	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $121.02 / $510.42 / $849.00	Facility	AS	$121.02	$510.42	$849.00