Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $9,549.93 / $18,620.87	Facility		$1,659.59	$9,549.93	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $35,481.34	Facility		$489.78	$575.44	$35,481.34
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,238.72	Facility		$1,047.13	$1,318.26	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $8,709.64 / $22,387.21	Facility		$1,737.80	$8,709.64	$22,387.21
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $22,387.21	Facility		$14,791.08	$14,791.08	$22,387.21
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	AS	$1,479.11	$1,479.11	$1,479.11