Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.73 / $4,935.00 / $7,956.80	Facility		$506.73	$4,935.00	$7,956.80
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 $482.60 / $655.00 / $1,090.68	Facility		$482.60	$655.00	$1,090.68
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $89.66 / $91.70 / $152.69	Facility	AS	$89.66	$91.70	$152.69
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 $1,845.60 / $8,957.00 / $26,542.00	Facility		$1,845.60	$8,957.00	$26,542.00
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $113.75 / $510.42 / $849.00	Facility	AS	$113.75	$510.42	$849.00