Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $10,471.29 / $21,379.62	Facility		$1,698.24	$10,471.29	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,148.15 / $35,481.34	Facility		$489.78	$1,148.15	$35,481.34
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	22	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,137.96	Facility		$1,023.29	$1,348.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $8,317.64 / $19,952.62	Facility		$1,737.80	$8,317.64	$19,952.62
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $22,387.21 / $22,387.21	Facility		$10,232.93	$22,387.21	$22,387.21
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72