Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,162.28 / $8,317.64	Facility		$912.01	$3,162.28	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,548.82	Professional		$1,096.48	$1,096.48	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,380.38	Facility		$660.69	$891.25	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $14,791.08 / $22,908.68	Facility		$3,981.07	$14,791.08	$22,908.68
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25